The new innovation of the lower medial thigh perforator flap for head and neck reconstruction

Microsurgery
Mario F ScaglioniYur-Ren Kuo

Abstract

The choice of optimal flap is still a challenge for patients with resection of head and neck cancer and reconstruction, especially for recurrent cases. In this article, we report the results of the new innovation of free lower medial thigh perforator (LMTP) flap for head and neck reconstruction in a series of patients. Fifteen patients received reconstruction with free LMTP flaps. The defect locations included the buccal area (3 cases), tongue (6 cases), lower/upper gum (5 cases), and soft palate (1 case). The perforators of flap design were detected at the distal third of the line, which was drawn from the midpoint of inguinal ligament to medial upper border of patella. The superficial temporal artery (7 cases), superior thyroid artery (6 cases), and facial artery (2 cases) were dissected as recipient vessels. The flap sizes varied from 12 × 5 cm(2) to 20 × 8 cm(2) . One to two perforators based on the superficial femoral artery or descending genicular artery were found between the septum of satorius and vastus medialis, or piercing the vastus medialis during dissection. All of flaps were survived after surgery, except one failed due to venous thrombosis. Another one flap suffered from venous thrombosis and was successfully sa...Continue Reading

References

Mar 1, 1987·British Journal of Plastic Surgery·G I Taylor, J H Palmer
Jul 1, 1986·Plastic and Reconstructive Surgery·D S Soutar, I A McGregor
Jun 1, 1981·Plastic and Reconstructive Surgery·R D AclandI Carlisle
Sep 1, 1993·Plastic and Reconstructive Surgery·I KoshimaS Ohta
Jan 1, 1997·Plastic and Reconstructive Surgery·D RichardsonJ S Brown
Jun 1, 1997·Annals of Plastic Surgery·T ShimizuU Bite
Nov 17, 2001·Plastic and Reconstructive Surgery·P C CavadasF Martínez-Soriano
Jan 7, 2004·Plastic and Reconstructive Surgery·Klaus-Dietrich WolffDirk Nolte
Jan 30, 2004·Microsurgery·Thomas SchoellerHildegunde Piza-Katzer
Aug 30, 2008·Annals of Plastic Surgery·Shao-Liang ChenTim-Mo Chen
Jan 1, 2009·Plastic and Reconstructive Surgery·Wei-Ren Pan, G Ian Taylor
Aug 3, 2010·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Jeroen M SmitPaul M N Werker
Nov 3, 2010·Plastic and Reconstructive Surgery·Radovan BocaSeng-Feng Jeng
Jan 14, 2011·Plastic and Reconstructive Surgery·Ali MojallalMichel Saint-Cyr
Dec 20, 2013·Plastic and Reconstructive Surgery·Ali MojallalFabienne Braye
Jun 25, 2014·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Joseph R DusseldorpPouria Moradi

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