title: Medial sural artery perforator flap aided by preoperative computed tomography angiography mapping for tongue reconstruction.
abstract: 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.
authors: Department of Oral Maxillofacial-Head Neck Oncology, Faculty of Oral and Maxillofacial Surgery, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology, Shanghai, China. Electronic address: william5218@126.com.
authors: Y
authors: Y
authors: He
authors: Department of Oral Maxillofacial-Head Neck Oncology, Faculty of Oral and Maxillofacial Surgery, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology, Shanghai, China.
authors: S F
authors: SF
authors: Jin
authors: Department of Oral Maxillofacial-Head Neck Oncology, Faculty of Oral and Maxillofacial Surgery, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology, Shanghai, China.
authors: C P
authors: CP
authors: Zhang
authors: Department of Oral Maxillofacial-Head Neck Oncology, Faculty of Oral and Maxillofacial Surgery, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai Key Laboratory of Stomatology, Shanghai, China.
authors: Z Y
authors: ZY
authors: Zhang
mesh_terms: D000792:Angiography; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D005260:Female; D005927:Glossectomy / Q000379:methods*; D006801:Humans; D061525:Perforator Flap / Q000098:blood supply*; D011150:Popliteal Artery / Q000000981:diagnostic imaging / Q000637:transplantation*; D019651:Plastic Surgery Procedures / Q000379:methods*; D014057:Tomography, X-Ray Computed; D014062:Tongue Neoplasms / Q000601:surgery*; D016896:Treatment Outcome; D055815:Young Adult
keywords: computed tomography angiography (CTA); medial sural artery perforator flap (MSAPF); supermicrosurgery; tongue reconstruction