Skip to main content
Log in

Free Flap Reconstruction in a Tongue Cancer Patient with Nephrotic Syndrome: A Case Report

  • Clinical Report
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Free flap has become crucial for reconstruction in head and neck oncology post resection since the time of its advent. It has shown a high success rate and provides a better quality of life over loco regional flaps. Literature has shown the success of free flaps does get influenced by preexisting medical conditions of the patient. Nephrotic syndrome being a hypercoagulable state doesn’t find much mention in literature and its effect on free flaps has been less studied. Hence, using a free flap in such condition creates a decision making dilemma. Here we present a case report to show the feasibility of such flaps in nephrotic syndrome patients under structured environment successfully.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Llach F (1985) Hypercoagulability, renal vein thrombosis, and other thrombotic complications of nephrotic syndrome. Kidney Int 28:429–439

    Article  CAS  Google Scholar 

  2. Singhal R, Brimble KS (2006) Thromoembolic complications in the nephrotic syndrome, pathophysiology and clinical management. Thromb Res 118:397–407

    Article  CAS  Google Scholar 

  3. Mahmoodi BK, Kate MKT, Waanders F et al (2008) High absolute risks and predictors of venous and arterial thromboembolic events in patients with nephrotic syndrome. Results from a large retrospective cohort study. Circulation 117:224–230

    Article  Google Scholar 

  4. Al-Thunayyan A, Al-Dekhayel SA, Al-Namla A, Al-Qattan MM (2009) Free flaps in nephrotic syndrome patients. J Plast Reconstr Aesthet Surg 62(4):555–556

    Article  CAS  Google Scholar 

  5. Karakawa R, Yoshimatsu H, Narushima M, Iida T (2018) Ratio of blood glucose level change measurement for flap monitoring. Plast Reconstr Surg Glob Open 6(7):e1851

    Article  Google Scholar 

  6. Bick RL, Ucar K (1992) Hypercoagulability and thrombosis. Hematol Oncol Clin N Am 6(6):1421–1431

    Article  CAS  Google Scholar 

  7. Farkas JC, Tabet G, Marzelle J, Cormier F, Laurian C, Cormier JM (1993) Arterial thrombosis: a rare complication of the nephrotic syndrome. Cardiovasc Surg 1(3):265–269

    Article  CAS  Google Scholar 

  8. Siddiqi FA, Tepler J, Fantini GA (1997) Aquired protein S and antithrombin III deficiency caused by nephrotic syndrome: an unusual cause of graft thrombosis. J Vasc Surg 25:576–580

    Article  CAS  Google Scholar 

  9. Al-Qattan MM, Bowen V (1993) The effect of pre-existing health conditions on the results of reconstructive microvascular surgery. Microsurgery 14:152–157

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Piyush Sinha.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Consent to Participate

Patient's consent has been obtained.

Consent for Publication

Patient's consent has been obtained.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Sinha, P., Singh, V. & Siddiqui, E. Free Flap Reconstruction in a Tongue Cancer Patient with Nephrotic Syndrome: A Case Report. Indian J Otolaryngol Head Neck Surg 74 (Suppl 3), 5814–5816 (2022). https://doi.org/10.1007/s12070-021-02406-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-021-02406-1

Keywords

Navigation