Free Peroneal and its Composite Flap: A Distant Donor for Head and Neck Reconstruction

Saitô, Hitoshi; Yoshimura, Mitsuo; Tsuda, Gota; Noda, Ichiro; Fujieda, Sigeharu; Ohtsubo, Toshio; Ikeda, Takuo; Tanaka, Nobuyuki

doi:10.1016/s0385-8146(12)80212-4

Cited by 8 publications

(1 citation statement)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although the deltopectoral flap [17], the pectoralis major myocutaneous flap [18], free forearm flap [19], free jejunum flap [20], and the composite flaps with bone [21][22][23] can be used for large intraoral defects, these flaps are not suitable for smaller defects around 40 cm 2 . This new version is a useful local flap especially for small defects from T1 to T3 without the burden of a complicated procedure.…”

Section: Discussionmentioning

confidence: 99%

Platysma Myocutaneous Flap Including the External Jugular Vein with Special Reference to Neck Dissection

Saitô

Tsuda

Ohtsubo

et al. 1998

ORL

Self Cite

View full text Add to dashboard Cite

Although platysma myocutaneous flap (PTMCF) is suitable for a small intraoral defect, combination with neck dissection (ND) decreases the viability. Therefore, a version of PTMCF was devised to increase the viability. This version consists of three points: preservation of the external jugular vein (EJV), preservation of the facial artery after skeletonization from the submandibular gland, and a new incision around the flap. This procedure was applied to 21 patients with intraoral cancer. All 21 patients underwent some kind of ND. The average viable area of transferred skin was 80%. This rate was significantly better than that for 46 previous cases using Farr’s modification with ND, in which the facial artery was divided. Viability of the flaps was analyzed by the vessels preserved, especially by EJV. ND is not a contraindication with this version.

show abstract

Section: Discussionmentioning

confidence: 99%

Platysma Myocutaneous Flap Including the External Jugular Vein with Special Reference to Neck Dissection

Saitô

Tsuda

Ohtsubo

et al. 1998

ORL

Self Cite

View full text Add to dashboard Cite

show abstract

A Brief History of Vascularized Free Flaps in the Oral and Maxillofacial Region

Steel

Cope

2015

Journal of Oral and Maxillofacial Surgery

View full text Add to dashboard Cite

Free Peroneal Skin Flap for Oropharyngeal Reconstruction

Saitô

Kimura

Tsuda

et al. 1999

Scandinavian Journal of Plastic and Reconstructive Surgery and

Self Cite

View full text Add to dashboard Cite

The thicknesses of three dermal flaps, platysma, forearm, and fibula, which are often used for oropharyngeal reconstruction, were measured in 21 subjects using 15 MHz Doppler ultrasonography. The mean (SD) thicknesses were 2.2 (0.3), 3.1 (0.5), and 3.8 (0.6) mm, respectively. The free peroneal skin flap from the leg was used in 14 patients with head and neck cancer. These flaps were successfully transplanted in 13 of 14 patients (93%) with no problems at the donor site. This flap offers many advantages, including its distance from the head and neck, its cosmetic superiority to a forearm flap, it allows two flaps with two cutaneous branches, it is possible to close the donor site primarily without a skin graft, and it has thin subcutaneous tissue. We found that the free peroneal skin flap is particularly useful for oropharyngeal reconstruction.

show abstract

Free Peroneal and its Composite Flap: A Distant Donor for Head and Neck Reconstruction

Cited by 8 publications

References 16 publications

Platysma Myocutaneous Flap Including the External Jugular Vein with Special Reference to Neck Dissection

Platysma Myocutaneous Flap Including the External Jugular Vein with Special Reference to Neck Dissection

A Brief History of Vascularized Free Flaps in the Oral and Maxillofacial Region

Free Peroneal Skin Flap for Oropharyngeal Reconstruction

Contact Info

Product

Resources

About