One-stage through-and-through cheek, lips, and oral commissure reconstruction using a double-paddle peroneal chimeric flap: An innovative method

Abstract

Free double-paddle peroneal chimeric flap with this novel flap design and inset method can produce functionally and aesthetically pleasing lips, vermilion borders, and oral commissure in one-stage reconstruction after oral cancer ablation.

Experience With the Use of Free Fasciocutaneous Flap in Through-and-Through Cheek-Buccal Defect Reconstruction

“…Other flaps with a versatility similar to that of ALT flaps, especially in the legs such as medial sural or peroneal flaps, could be the new choices for reconstruction. 24,25 In this study, we investigated only reconstruction of throughand-through cheek-buccal defects, excluding the oral cavity because of its many different functions. Many limitations could affect the interpretation of our findings, such as retrospective bias and limited recruitment rates in the questionnaire study.…”

Comparison between anterolateral thigh, radial forearm, and peroneal artery flap donor site thickness in Asian patients—A sonographic study

“…This flap gradually overtook the radial forearm flap to become the workhorse flap (Demirkan et al, ; Kimata et al, ; Koshima et al, ; Shieh et al, ; Wei et al, ), particularly in the eastern world where obesity was less prevalent. The peroneal flap, first described by Yoshimura, Imura, Shimamura, Yamauchi, & Nomura, (), was reported as a viable and versatile option for a variety of soft tissue defects (Huang, Liu, Chen, & Yang, ; Ikeda, Yokoyama, Okada, Tomita, & Nagayama, ; Lin, Liu, Chen, & Yang, ; Liu and Yang, ; Loeffelbein, Holzle, & Wolff, ; Wolff & Stellmach, ; Wolff, ; Wolff, Holzle, & Nolte, ; Wolff, Kesting, Thurmuller, Bockmann, & Holzle, ; Yang, Leung, & Chen, ). Despite its thinness, minor donor site morbidity, and easy two‐team approach, there had been a pushback on adopting this flap as one of the workhorse flaps, most likely because of its steeper learning curve.…”

“…There could be several circumstances when the flap thickness is a concern, such as the hemiglossectomy defect where a bulky free tissue transfer could affect the motility of the remaining tongue, the lip defect where a thin free tissue transfer would be better for recreating a natural appearance (Liu and Yang, ), or soft tissue defects in extremities where bulky free flaps might jeopardize remaining function or cause disfigurement. We suggest that the results of this study would aid in the selection of an appropriate flap for a given soft tissue defect where appropriate thickness is a major concern.…”

Single stage aesthetic and functional reconstruction of composite facial gunshot wound with a chimeric functioning muscle and fibular osseous flap. Case report and review of the literature

“…In the setting of full thickness oromandibular defects, primary reconstruction with static lip support will provide continence, but not animation. When muscle is harvested with the flap, it is primarily used to recreate the buccal bulk (Huang et al, ; Jeng et al, ; Liu & Yang, ; Kuo et al, ). We identified six publications in peer review journals that address primary free functional muscle transfer for facial reanimation in the setting of oromandibular or cheek defects following trauma, oncological ablation or infection.…”