Medial sural artery perforator flap for head and neck reconstruction

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Surgical anatomy of the medial sural artery perforator flap.

BACKGROUND The medial sural (medial gastrocnemius) perforator flap is a thin flap with a long pedicle. It has tremendous potential for applications in a variety of soft-tissue defects. We aimed to further clarify the vascular anatomy of the medial sural region and establish a safe approach for elevation of this flap. METHODS Ten fresh cadaveric lower limbs were injected and used in this study...

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Tounge Reconstruction with Medial Sural Artery Perforator Flap: A Case Report

There are numerous perforator flaps reported in the literature for head and neck reconstruction. We are presenting a case report of squamous cell carcinoma of Tongue which was operated by hemi glossectomy, modified radical neck dissection and reconstruction was done with medial sural artery perforator flap (MSAP). Preoperatively handheld Doppler was used to identify the perforator. The size of ...

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Lower Medial Thigh Perforator Flap: The New Innovation for Head and Neck Reconstruction.

INTRODUCTION: Free tissue transfer has become a popular procedure for head and neck defect reconstruction. However, the choice of optimal flap remains challenging especially in recurrent cancer cases involving multiple surgical resections. Here, we describe the novel lower medial thigh perforator (LMTP) flap that can be used reliably to reconstruct head and neck defects in such a difficult situ...

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Comparison of Posteromedial Thigh Profunda Artery Perforator Flap and Anterolateral Thigh Perforator Flap for Head and Neck Reconstruction.

BACKGROUND The anterolateral thigh perforator flap is a common workhorse flap for head and neck reconstruction. The authors present an alternative method using the posteromedial thigh profunda artery perforator flap and compare its characteristics, outcomes, donor-site morbidity, and donor-site cosmesis with those of the anterolateral thigh perforator flap. METHODS Between May of 2013 and Jul...

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Medial Sural Artery Perforator Flap: Using the Superficial Venous System to Minimize Flap Congestion

813 free perforator flap surgery and always have a second option in mind in case of flap failure. Further, a sufficient understanding of the wound characteristics, donor and recipient vessels, and design for insetting should precede the surgery. Lastly, the skin graft over the muscle flap is less durable than the fasciocutaneous flap and tends to form a callus. To prevent this complication, a p...

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ژورنال

عنوان ژورنال: Annals of Maxillofacial Surgery

سال: 2018

ISSN: 2231-0746

DOI: 10.4103/ams.ams_137_17