The facial artery perforator flap for intraoral reconstruction of a mouth floor defect

Horta, Ricardo; Teixeira, Sérgio; Nascimento, Ricardo; Silva, Álvaro; Amarante, José

doi:10.1002/micr.30333

Cited by 3 publications

(1 citation statement)

References 20 publications

(21 reference statements)

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“…Furthermore, it is imperative to recognize that free flap surgery may be contraindicated in cases where patients are unable to endure prolonged operative times due to underlying comorbidities, such as cardiopulmonary conditions, cardiac issues, or impaired renal function [2,3,10]. In such instances, when feasible, local flap techniques may present a suitable alternative, particularly for small-to moderate-sized intraoral defects [1][2][3][4][5][11][12][13][14][15][16][17]. In a previous study, we reported a successful case involving the use of a single-stage peninsular-shaped lateral tongue flap (pLTF) for reconstructing an intraoral defect following tumor resection in the buccal area, which encompassed the retromolar trigone (RMT) region [2].…”

Section: Introductionmentioning

confidence: 99%

Single-Stage Peninsular-Shaped Lateral Tongue Flap for Personalized Reconstruction of Various Small- to Moderate-Sized Intraoral Defects: A Retrospective Case Series with Tongue Function Evaluation Using the Functional Intraoral Glasgow Scale

Cho,

Jang,

Kim

2023

JPM

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Herein, we present our experience using a single-stage peninsular-shaped lateral tongue flap (pLTF) to cover various intraoral defects and confirm the versatile utility and effective application of pLTF in intraoral defect reconstruction. This study included eight cases (six males and two females; average age 60.3 ± 16.9 years) of intraoral defect reconstruction performed by a single surgeon between August 2020 and May 2023 using the single-stage pLTF technique. Electronic medical records and photographs of the patients were collected and analyzed. The functional intraoral Glasgow scale (FIGS) was used to evaluate preoperative and postoperative tongue function. Defect sizes ranged from 3 cm × 3 cm to 4 cm × 6 cm. Notably, all defects were successfully covered with pLTFs, and the flap sizes ranged between 3 cm × 4.5 cm and 4.5 cm × 7.5 cm. The flaps completely survived without any postoperative complications. At follow-up (average, 9.87 ± 2.74 months), no patient had tumor recurrence or significant tongue functional deficits. The mean preoperative and postoperative FIGS were 14.75 ± 0.46 and 14.00 ± 0.92, respectively (p = 0.059). Thus, the single-stage pLTF technique is a good reconstructive modality for various small to moderate intraoral defect coverage in selected cases for personalized intraoral reconstruction.

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Section: Introductionmentioning

confidence: 99%

Single-Stage Peninsular-Shaped Lateral Tongue Flap for Personalized Reconstruction of Various Small- to Moderate-Sized Intraoral Defects: A Retrospective Case Series with Tongue Function Evaluation Using the Functional Intraoral Glasgow Scale

Cho,

Jang,

Kim

2023

JPM

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Reconstruction of large defects of anterior floor of mouth with free flaps using a novel individualized flap design method

Liu,

Al-Aroomi

et al. 2023

Journal of Cranio-Maxillofacial Surgery

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The Facial Artery Perforator Flap as a New Option for Reconstruction of Intraoral Defects: Surgical Tips and Clinical Series

Horta

Barreiro

Nascimento

et al. 2019

Journal of Craniofacial Surgery

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Background: The authors have recently 1st described the use of the facial artery perforator flap (FAP) for intraoral reconstruction. In this study, they discuss technical notes and surgical tips associated with the procedure and the application of this flap in 4 patients with intraoral defects resulting from cancer or osteoradionecrosis. Methods: A retrospective study of 4 consecutive patients was performed on all patients who underwent reconstruction of an intraoral defect with a FAP flap, over a 12-month period from March 2017 to March 2018. The flap was designed according to the size of the defect centered on the perforator and was tunneled intraorally by means of a 90° rotation or advanced medially. The most constantly encountered perforator 1.5 cm lateral to the oral commissure was used in 3 cases; a cranial perforator was selected in 1 patient. Results: Four FAP flaps were used in 4 patients with intraoral defects. Follow-up was 6 to 12 months. Median defect size was 9.15 cm2 (range, 3.4–21.5 cm2). All reconstructions were successful, without major flap loss or infections. One patient with severe osteoradionecrosis and fungal infection developed minor flap loss and dehiscence, which was treated conservatively. There were no signs of local recurrence and functional outcomes were satisfactory. Conclusions: The FAP flap is an effective and versatile solution for reconstruction of intraoral defects until 5 cm × 4 cm (20 cm2) without significant donor-site morbidity. It may be considered a new reconstructive option for intraoral defects, which warrants further study in a larger series or patients.

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The facial artery perforator flap for intraoral reconstruction of a mouth floor defect

Cited by 3 publications

References 20 publications

Single-Stage Peninsular-Shaped Lateral Tongue Flap for Personalized Reconstruction of Various Small- to Moderate-Sized Intraoral Defects: A Retrospective Case Series with Tongue Function Evaluation Using the Functional Intraoral Glasgow Scale

Single-Stage Peninsular-Shaped Lateral Tongue Flap for Personalized Reconstruction of Various Small- to Moderate-Sized Intraoral Defects: A Retrospective Case Series with Tongue Function Evaluation Using the Functional Intraoral Glasgow Scale

Reconstruction of large defects of anterior floor of mouth with free flaps using a novel individualized flap design method

The Facial Artery Perforator Flap as a New Option for Reconstruction of Intraoral Defects: Surgical Tips and Clinical Series

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