Medial sural artery perforator flap for intraoral reconstruction following cancer ablation

Annals of Plastic Surgery
Shao-Liang ChenTim-Mo Chen

Abstract

In oral cavity reconstruction, the fasciocutaneous flaps of the distal extremities have always been preferred to any other kind of flap because of their thinness and pliability, which makes them adaptable to different areas in the oral cavity. The radial forearm flap is frequently considered the first choice for intraoral reconstruction, but the disadvantages of donor site morbidity include sacrificing a major artery to the hand and leaving a conspicuous donor site scar. The search for another primarily thinned skin flap as an alternative has led to the application of the medial sural artery perforator flap, which is harvested from the medial aspect of the upper calf. Between June 2003 and March 2007, 22 free medial sural artery perforator flaps were transferred for intraoral defects after cancer ablation, including tongue and floor of mouth (15 cases), buccal mucosa (5 cases), retromolar trigone (1 case), and anterior floor of mouth (1 case). We paid attention to the major perforator (vein > or =1 mm), which was confirmed by the endoscope, as the vascular relay for the skin flap. The size of the skin paddle varied from 7.5 x 4 cm to 17 x 8 cm. The main advantage of this flap is that it provides thin and pliable coverage to ach...Continue Reading

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Citations

Mar 17, 2015·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·M Ives, B Mathur
Nov 21, 2012·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Alexis B OlssonSanjay P Reddi
Jan 28, 2012·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·David K LamBrian L Schmidt
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Sep 29, 2015·European Journal of Plastic Surgery·Navid Mohamadpour Toyserkani, Jens Ahm Sørensen
Oct 4, 2016·International Wound Journal·I-Han ChiangChih-Hsin Wang
Mar 11, 2017·Plastic and Reconstructive Surgery. Global Open·Mark W StalderEduardo D Rodriguez
Feb 13, 2018·Journal of Surgical Oncology·Giuditta MannelliGiuseppe Spinelli
Dec 12, 2018·Plastic and Reconstructive Surgery·David A DaarJamie P Levine
Apr 7, 2011·Annals of Plastic Surgery·Xue-Tao Xie, Yi-Min Chai
Jan 27, 2017·Plastic and Reconstructive Surgery·Alexandra R MolinaWilliam A Townley
May 19, 2016·The Journal of Craniofacial Surgery·Ricardo HortaJosé Amarante
Oct 9, 2020·Journal of Reconstructive Microsurgery·Marcus J M NgAdrian S H Ooi
Aug 23, 2020·Plastic and Reconstructive Surgery·Nidal F Al DeekCheng-Hung Lin
May 12, 2021·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Adrian S H OoiDavid Chang

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