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Medial sural artery perforator flap for tongue and floor of mouth reconstruction

✍ Scribed by Shao-Liang Chen; Tim-Mo Chen; Niann-Tzyy Dai; Yi-Jan Hsia; Yaoh-Shiang Lin

Publisher: John Wiley and Sons
Year: 2008
Tongue: English
Weight: 308 KB
Volume: 30
Category: Article
ISSN: 1043-3074
DOI: 10.1002/hed.20712

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

Background.

The radial forearm flap is frequently considered the first choice for tongue reconstruction, but the disadvantages of donor site morbidity are well known. The search for another thin skin flap as an alternative has led to the application of the medial sural artery perforator flap.

Methods.

We used 12 medial sural artery perforator flaps to reconstruct tongue and floor of mouth following cancer ablation. We paid attention to the major perforator (vein ≥ 1 mm) as the vascular relay.

Results.

Most flaps were raised with a single perforator. The size of the skin paddle varied from 9 cm × 5 cm to 14 cm × 12 cm. The mean thickness of the flap was 5.2 mm. We reexplored 1 patient for venous insufficiency and could not salvage the flap.

Conclusions.

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