Free profunda femoris artery perforator flap as a first‐line choice of reconstruction for partial glossectomy defects

ABSTRACT Background Free profunda artery perforator (PAP) flap has recently been brought back for head and neck reconstruction. During the course of 1 year, we performed this procedure for reconstruction of partial glossectomy defects with excellent results. Methods From January through December 201...

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Bibliographic Details
Published in:Head & neck 2017-04, Vol.39 (4), p.737-743
Main Authors: Fernández–Riera, Ricardo, Hung, Shao‐Yu, Wu, Jerry Chih‐Wei, Tsao, Chung‐Kan
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Arteries - transplantation
Carcinoma, Squamous Cell - diagnosis
Carcinoma, Squamous Cell - mortality
Carcinoma, Squamous Cell - surgery
Cohort Studies
Deglutition - physiology
deglutition score
Female
Follow-Up Studies
free profunda femoris artery perforator flap
Glossectomy - methods
Graft Survival
hemiglossectomy reconstruction
Humans
Male
Middle Aged
partial glossectomy defect
Perforator Flap - blood supply
Perforator Flap - transplantation
Quality of Life
Reconstructive Surgical Procedures - methods
Retrospective Studies
Risk Assessment
Speech Intelligibility
speech score
Survival Analysis
Thigh - blood supply
Tongue Neoplasms - mortality
Tongue Neoplasms - pathology
Tongue Neoplasms - surgery
Wound Healing - physiology
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Summary:ABSTRACT Background Free profunda artery perforator (PAP) flap has recently been brought back for head and neck reconstruction. During the course of 1 year, we performed this procedure for reconstruction of partial glossectomy defects with excellent results. Methods From January through December 2015, 21 patients underwent partial glossectomy reconstruction with PAP flaps. Demographics, surgical technique, anatomic variations, success rates, complications, and characteristics are described. Swallowing and speech results after reconstruction are evaluated. Results No donor‐site complications were observed. Two cases presented complications potentially related to the flap (1 hematoma and 1 prolonged intubation) that were treated successfully. Deglutition and speech assessment resulted in fair to excellent swallowing capacity in all patients. Speech score resulted 4/5 to 5/5 in all patients at 3‐month follow‐up. Conclusion The PAP flap should be considered one of the first‐line options for hemiglossectomy reconstruction, receiving special consideration in the high‐risk population in which future complex reconstructions could be needed. © 2016 Wiley Periodicals, Inc. Head Neck 39: 737–743, 2017
ISSN:1043-3074
1097-0347
DOI:10.1002/hed.24675