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Anterior tibial artery perforator flap for reconstruction of intraoral defects.

Wang RL1, Li N2, Jiang CH3, Guo F3, Su T3.

J Oral Maxillofac Surg. 2014 Apr;72(4):804-10.

 

1Attending Physician, Jinan Stomatology Hospital, Jinan, China and

2Attending Physician, Department of Oral and Maxillofacial Surgery, Xiangya Hospital, Central South University, Changsha, China. Electronic address: [email protected] and

3Associate Professor, Department of Oral and Maxillofacial Surgery, Xiangya Hospital, Central South University, Changsha, China.

 

Abstract

PURPOSE:

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

PATIENTS AND 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 intraoraldefect 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.

CONCLUSION:

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.

Copyright © 2014 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

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