Double-skin paddle perforator flap from the lateral lower leg for reconstruction of through-and-through cheek defect – a report of two cases

Extensive defects after ablative surgery of oral cancer, involving exterior skin of the cheek, demand for complex reconstruction. It often requires two free flaps, or double-skin paddle scapular-, radial forearm- or fibular-flap to reconstruct through-and-through cheek defects. The outcome is mostly...

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Bibliographic Details
Published in:International journal of oral and maxillofacial surgery 2006-11, Vol.35 (11), p.1016-1020
Main Authors: Loeffelbein, D.J., Hölzle, F., Wolff, K.-D.
Format: Article
Language:English
Subjects:
Adenoma, Pleomorphic - surgery
Aged
Biological and medical sciences
Carcinoma, Squamous Cell - surgery
Cheek - surgery
Dentistry
donor site morbidity
Facial Neoplasms - surgery
Humans
Leg
Male
Medical sciences
microsurgery
Middle Aged
Mouth Neoplasms - surgery
Otorhinolaryngology. Stomatology
perforator flap
Salivary Gland Neoplasms - surgery
Salivary Glands, Minor - surgery
Skin Transplantation - methods
Surgical Flaps
through-and-through defect
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Summary:Extensive defects after ablative surgery of oral cancer, involving exterior skin of the cheek, demand for complex reconstruction. It often requires two free flaps, or double-skin paddle scapular-, radial forearm- or fibular-flap to reconstruct through-and-through cheek defects. The outcome is mostly described as successful and functional. Nevertheless donor site morbidity and functional impairment should not be neglected. This report describes the use of double-skin paddle perforator flaps from the lateral lower leg for combined intra and extraoral reconstruction after tumour resection. This kind of flap first avoids the need of an additional free flap, secondly it produces minimal donor site morbidity because of consequent preservation of the peroneal artery and primary wound closure. Thirdly it enables a good aesthetic outcome possible because of the primarily thin, pliable and variable skin paddles.
ISSN:0901-5027
1399-0020
DOI:10.1016/j.ijom.2006.08.008