The medial sural artery perforator flap in intra-oral reconstruction: A Northeast experience

Summary Background The medial sural artery perforator (MSAP) flap is a fasciocutaneous flap that is gaining popularity for intra-oral reconstructions. The aim of this two-centre review was to evaluate the use of the MSAP flap in intra-oral reconstructions and report our experiences. Methods Data wer...

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Bibliographic Details
Published in:Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2016-05, Vol.69 (5), p.687-693
Main Authors: Chalmers, R.L, Rahman, K.M.A, Young, S, Kennedy, M, Endersby, S, Adams, J.R, Ahmed, O.A, Nugent, M, Ragbir, M
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Arteries
Carcinoma, Squamous Cell - surgery
Female
Free flap
Humans
Intra-oral reconstruction
Leg - blood supply
Male
Medial sural artery perforator flap
Microsurgery
Middle Aged
Mouth Neoplasms - surgery
Muscle, Skeletal - blood supply
Oral Surgical Procedures - methods
Perforator Flap - blood supply
Perforator Flap - transplantation
Photography
Plastic Surgery
Prospective Studies
Tissue and Organ Harvesting - methods
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Summary:Summary Background The medial sural artery perforator (MSAP) flap is a fasciocutaneous flap that is gaining popularity for intra-oral reconstructions. The aim of this two-centre review was to evaluate the use of the MSAP flap in intra-oral reconstructions and report our experiences. Methods Data were collected prospectively on 35 consecutive intra-oral reconstructions using the free MSAP flap. Patient details and intraoperative flap details were recorded. Results Thirty-five patients underwent intra-oral reconstruction with a free MSAP flap (26 males and nine females). The average flap dimensions were a length of 8.03 cm, a width of 5.0 cm and a thickness of 7.1 mm. Twenty-two flaps had two perforators, and the average pedicle length was 11.1 cm. There were no flap losses. Ninety-one per cent of donor sites were closed primarily. There were two minor complications related to donor-site wound dehiscence, which required delayed skin grafting. The overall complication rate was 5.7%. Conclusions The MSAP flap is a good choice for intra-oral reconstruction. It has reliable anatomy and provides thin, pliable skin with a long pedicle. In addition, donor morbidity is low as the donor site can be closed directly in most cases. It is currently our flap of choice for small intra-oral soft tissue defects.
ISSN:1748-6815
1878-0539
DOI:10.1016/j.bjps.2016.01.005