Guidelines for Complications of Cancer Treatment Vol VIII Part B

estoration of vascular flow to tissues fails to result intissue perfusion. This indicates non-salvageable flap.- Haematoma is next common indication for re exploration.- Commonest predisposition factor for haematoma is useof heparin, uncontrolled blood pressure.- Presence of bleeder in the recipient bed is more commonthan bleeder in the flap.- Minor haematoma can be removed by the bed side whilemajor haematoma require removal under GA.Other less common complications at the recipient site include:-Salivary fistula.Intra Oral dehiscence.Seventh Nerve weakness (esp. marginal mandibularbranch).Skin necrosis.Abscess adjacent to flap.Infected bone graft.Prosthesis removal.Dysphagia.Lip necrosis.Microstomia.Oral incompetence.Donor site complicationThese include:-- Hematoma at the donor site – when under the forearmgraft, it can lift the graft off the bed and result in graftloss. In the Fibula donor site, if the overlying skin isclosed primarily, it can lead to compartment syndrome.Urgent opening of wound and haematoma evacuation isrequired.187