Medial sural artery perforator flap aided by preoperative computed tomography angiography mapping for tongue reconstruction

作者：He, Y^*; Jin, S F; Zhang, C P; Zhang, Z Y

来源：International Journal of Oral and Maxillofacial Surgery, 2014, 43(9): 1064-1068.

DOI：10.1016/j.ijom.2014.05.016

• medial sural artery perforator flap (MSAPF)
• computed tomography angiography (CTA)
• tongue reconstruction
• supermicro-surgery

The purpose of this paper is to present an innovative method for tongue reconstruction after cancer ablation using the medial sural artery perforator flap with the aid of preoperative computed tomography angiography (CTA) mapping. We describe the case of one patient treated with this technique and illustrate the anatomy of perforator vessels and the surgical techniques used in flap harvest. CTA was applied preoperatively to assess the number and location of medial sural artery perforators. The result obtained was both aesthetically and functionally satisfactory. The flap presented has the advantage of less donor site morbidity, and being thin, it is a suitable option for tongue reconstruction including that of a hemiglossectomy defect. CTA is an effective means of improving the safety of flap harvest.

• 出版日期2014-9
• 单位上海交通大学