Free sural artery perforator flap: An occasional gift in oral cavity reconstruction

Pease, Natalie; Davies, Andrew; Townley, William A.

doi:10.1002/hed.24426

Cited by 6 publications

(1 citation statement)

References 14 publications

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“…Proximally pedicled neurovascular sural artery flaps have been reported,8 9 but never as a perforator flap. The only use of an MSSAP flap was for head and neck reconstruction and was a free flap 10…”

Section: Discussionmentioning

confidence: 99%

Split median superficial sural artery perforator (MSSAP) flap and medial sural artery perforator (MSAP) flap for posterior thigh sarcoma reconstruction

Mazur

Osinga

2020

BMJ Case Rep

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Reconstruction of composite defects of the posterior thigh and knee is challenging. Pedicled medial gastrocnemius flaps are the traditional reconstructive approach, but late contractures related to skin grafted muscle may affect knee function. More recently, the medial sural artery perforator (MSAP) flap has been described for such defects, although may necessitate skin grafting of the donor site. To minimise the drawbacks with these options, we describe a combination of a median superficial sural artery perforator (MSSAP) flap and MSAP flap. This allows both tension free closure of the donor site without skin grafting, and facilitates coverage of a round defect by splitting the flap into two adjacent triangular flaps. This is the first report of posterior thigh defect reconstruction with a combination of MSSAP and MSAP flaps.

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Section: Discussionmentioning

confidence: 99%

Split median superficial sural artery perforator (MSSAP) flap and medial sural artery perforator (MSAP) flap for posterior thigh sarcoma reconstruction

Mazur

Osinga

2020

BMJ Case Rep

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The versatile free medial sural artery perforator flap: An institutional experience for reconstruction of the head and neck, upper and lower extremities

et al. 2019

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BackgroundThe medial sural artery perforator (MSAP) flap is an increasingly versatile and reliable flap for soft tissue reconstruction. This study investigates complication rates and long‐term outcomes of the MSAP flap.MethodsA retrospective review was performed on consecutive patients undergoing MSAP flap reconstruction at Chang Gung Memorial Hospital from 2006 through 2017. Patient demographics were assessed. Flap failure and wound complications were the outcome measures.ResultsIn the cohort of 246 patients that underwent a total of 248 MSAP flap reconstructions were identified. The average age was 47.5 years (range 15–76). Of the 248 flaps, 170 were used for reconstruction of the head and neck, 48 for upper extremity reconstruction, and 30 for lower extremity reconstruction. The average MSAP flap size was 5.2 × 11.8 cm. 31 (12.5%) of the flaps developed arterial occlusion, venous insufficiency, or a hematoma postoperatively requiring re‐exploration. Nineteen were successfully salvaged, yielding an overall failure rate of 4.8%. Minor complications included the need for flap debridement in 18 cases (7.3%) and need for donor site debridement in eight cases (3.2%).ConclusionsThe MSAP flap can be used in a versatile fashion to reconstruct defects of the head and neck, upper extremity, and lower extremity with minimal complication rates.

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Optimizing Flap Measurements for Tongue Reconstruction: Harnessing the Power of the Pythagorean Formula

Saraiya

2023

Indian J Otolaryngol Head Neck Surg

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Free sural artery perforator flap: An occasional gift in oral cavity reconstruction

Abstract: SAPs allow a favorable flap dissection, as opposed to the musculocutaneous course of MSAPs. Our findings provide further evidence of the versatility of the calf donor site. © 2016 Wiley Periodicals, Inc. Head Neck 38: E2454-E2456, 2016.

Cited by 6 publications

References 14 publications

Split median superficial sural artery perforator (MSSAP) flap and medial sural artery perforator (MSAP) flap for posterior thigh sarcoma reconstruction

Split median superficial sural artery perforator (MSSAP) flap and medial sural artery perforator (MSAP) flap for posterior thigh sarcoma reconstruction

The versatile free medial sural artery perforator flap: An institutional experience for reconstruction of the head and neck, upper and lower extremities

Optimizing Flap Measurements for Tongue Reconstruction: Harnessing the Power of the Pythagorean Formula

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