A case of deep vein thrombosis following mandibular reconstruction with a vascularized iliac bone graft

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  • HORIE Akihisa
    First Department of Oral and Maxillofacial Surgery, School of Dental Medicine, Tsurumi University
  • KAWAGUCHI Kouji
    First Department of Oral and Maxillofacial Surgery, School of Dental Medicine, Tsurumi University
  • SAKAI Nobuoki
    Department of Oral and Maxillofacial Surgery, Saiseikai Kanagawa Hospital
  • SEKIYA Hideki
    First Department of Oral and Maxillofacial Surgery, School of Dental Medicine, Tsurumi University
  • ISHII Hiroaki
    First Department of Oral and Maxillofacial Surgery, School of Dental Medicine, Tsurumi University
  • SETO Kan-ichi
    First Department of Oral and Maxillofacial Surgery, School of Dental Medicine, Tsurumi University

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Other Title
  • 血管柄付き腸骨による下顎再建後に下肢深部静脈血栓症を発症した１例
  • ショウレイ ホウコク ケッカンヘイ ツキ チョウコツ ニ ヨルカガク サイケン ゴ ニ カシ シンブ ジョウミャク ケッセンショウ オ ハッショウ シタ 1レイ

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Abstract

We report a case of deep vein thrombosis occurred after mandibular reconstruction with a vascularized iliac bone graft. A 30-year-old man was referred to our clinic because of a right mandibular bone defect after segmental resection for ameloblastma of the mandible. Reconstruction with a vascularized iliac bone graft was performed with the patient under general anesthesia. On the 18th day after the operation, leg pain and edema on the left side suddenly occurred. Enhanced computed tomographic and angiographic examinations were performed. The diagnosis was deep vein thrombosis. The patient received heparin and urokinase as anticoagulant therapy and successfully recovered. There has been no evidence of pulmonary embolism.

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