Anterior tibial artery perforator flap for reconstruction of intraoral defects.
OBJECTIVE
The present clinical study assessed the feasibility of using an anterior tibial artery perforator (ATAP) flap for the reconstruction of an intraoral defect after ablative surgery for oral cancer.


METHODS
A cohort of consecutive patients with oral cancer requiring reconstruction of an intraoral defect using an ATAP flap were enrolled after ablative surgery for oral cancer and ipsilateral neck dissection.


RESULTS
Twelve patients had primary oral squamous cell carcinoma (8 with tongue cancer and 4 with buccal cancer). All patients received intraoral defect repair using an ATAP flap from the lower left leg. The flap measured 7 × 4 to 8 × 6 cm(2). Flap thickness was approximately 4.8 mm (3 to 6 mm). Anastomosis of all ATAP flaps was straightforward because of the long and high-caliber vessel pedicle. All flaps survived and yielded excellent esthetic results for intraoral reconstruction. No major complications occurred in any patient.


CONCLUSIONS
The main advantages of the ATAP flap included the thin and pliable tissue characteristics and a long and high-caliber pedicle. For small and medium-size intraoral defects, the ATAP flap is a reliable alternative to the radial forearm free flap.
Attending Physician, Jinan Stomatology Hospital, Jinan, China.
Rong-Lin
RL
Wang
Attending Physician, Department of Oral and Maxillofacial Surgery, Xiangya Hospital, Central South University, Changsha, China. Electronic address: liningbeta@hotmail.com.
Ning
N
Li
Associate Professor, Department of Oral and Maxillofacial Surgery, Xiangya Hospital, Central South University, Changsha, China.
Can-Hua
CH
Jiang
Associate Professor, Department of Oral and Maxillofacial Surgery, Xiangya Hospital, Central South University, Changsha, China.
Feng
F
Guo
Associate Professor, Department of Oral and Maxillofacial Surgery, Xiangya Hospital, Central South University, Changsha, China.
Tong
T
Su
D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D002610:Cheek / Q000601:surgery; D015331:Cohort Studies; D004954:Esthetics; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D058752:Free Tissue Flaps / Q000637:transplantation*; D006085:Graft Survival; D006801:Humans; D008297:Male; D008875:Middle Aged; D009062:Mouth Neoplasms / Q000601:surgery*; D037981:Neck Dissection / Q000379:methods; D061525:Perforator Flap / Q000098:blood supply / Q000637:transplantation*; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods; D016909:Tibial Arteries / Q000000981:diagnostic imaging / Q000637:transplantation*; D020858:Tissue and Organ Harvesting / Q000379:methods; D014062:Tongue Neoplasms / Q000601:surgery; D060053:Transplant Donor Site / Q000601:surgery; D018615:Ultrasonography, Doppler, Color