Peroneal Flap in Hypopharyngeal Reconstruction

Abstract

A peroneal flap reconstruction has comparable postoperative complications and donor site morbidity and should be considered as a viable option for hypopharyngeal reconstruction.

Obliquely‐arranged double skin paddles: A novel design to reconstruct extensive head and neck defects with a single fibula or peroneal flap

“…Because multiple perforators could be usually found in the lateral lower leg, a double‐paddle peroneal flap could be easily harvested (Yang et al, ). With its relative thinness compared to antero‐lateral thigh flap (Hsu et al, ), the peroneal flaps could be easily reshaped into desirable shapes, such as acute‐angle mouth angle (Liu & Yang, ), hemiglossectomy defect (Lin, Liu, Lin, Chen, & Yang, ), hypopharyngeal defect (Lin et al, ), or extensive lip reconstruction (Lin, Liu, Lin, Chen, Hsueh et al, ). The novelty of this report is that we refine our design to maximize the area of skin paddle we could harvest.…”

“…In this report, we would like to introduce a novel design of using the obliquely‐arranged double skin paddles to maximize the harvested skin area of lateral lower leg. The design can be applied to fibula flap, or peroneal flap which is the boneless version of fibula flap (Lin, Liu, Chen, & Yang, ; Lin, Liu, Lin, Chen, & Yang, ; Lin, Liu, Lin, Chen, Hsueh et al, ; Liu & Yang, ; Wolff, ; Yang, Leung, & Chen, ). Herein, we present a series of eight cases with extensive through and through defects reconstructed with single fibula or peroneal flap.…”

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.…”

Double‐paddle peroneal flap for extensive lip defect reconstruction

“…After years of refinement, lip reconstruction using radial forearm flaps has achieved a certain degree of sensory (Civelek, Celebioglu, Unlu, Civelek, Inal, & Velidedeoglu, ; Özdemir, Ortak, Koçer, Çelebioglu, Sensöz, & Tiftikcioglu, ) and motor recovery (Gurunluoglu, Glasgow, Williams, Gurunluoglu, Antrobus, & Eusterman, ; Kushima, Iwasawa, Kiyono, Ohtsuka, & Hataya, ; Ninkovic et al, ; Shinohara, Iwasawa, Kitazawa, & Kushima, ), in addition to simply fixing the defects. Peroneal flap, a boneless variant of the commonly used fibula flap first introduced by Yoshimura, Imura, Shimamura, Yamauchi, & Nomura (), has been a workhorse for head and neck reconstruction in our institution since 1996 (Huang, Liu, Chen, & Yang, ; Liu & Yang, ; Lin, Liu, Chen, & Yang, ; Yang et al, ). In extensive lip defect reconstruction, these flaps have the advantages of being highly pliable because of their thinness, and the double‐paddle design because of the high likelihood of multiple perforators (Yang et al, ).…”