AI Article Synopsis
- The study highlights the successful use of a sural artery perforator (SAP) flap for tongue reconstruction in a patient where medial sural artery perforators (MSAPs) were absent.
- An anatomic study involved dissecting cadaver limbs to investigate the blood supply to the posterior calf skin, finding a septocutaneous SAP in one out of six limbs examined.
- The results suggest that using SAPs for flap dissection is beneficial compared to the musculocutaneous approach of MSAPs, confirming the calf as a versatile donor site for reconstructive surgery.
Article Abstract
Background: The medial sural artery perforator (MSAP) flap is becoming a popular strategy for reconstructing intraoral defects. We present a case in which no MSAPs were present, however, a perforator-based calf flap was successfully raised on the sural artery and used for tongue reconstruction. A corresponding anatomic study was undertaken to establish if this finding was reproducible.
Methods: A 58-year-old woman underwent left hemiglossectomy for a squamous cell carcinoma of the tongue. Subsequently, 6 fresh frozen cadaveric limbs were dissected examining the blood supply of the posterior calf skin.
Results: The sural artery perforator (SAP) flap successfully reconstructed the defect. Our cadaveric study similarly demonstrated a septocutaneous SAP supplying the posterior calf skin in 1 of 6 limbs.
Conclusion: 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.
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| http://dx.doi.org/10.1002/hed.24426 | DOI Listing |
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