Osteomyocutaneous peroneal artery–based combined flap for reconstruction of composite and en bloc mandibular defects

Head and Neck - Tập 31 Số 3 - Trang 361-370 - 2009
Ming‐Huei Cheng1, Michel Saint‐Cyr2, Rozina Ali1, Kai‐Ping Chang3, Sheng‐Po Hao3, Fu‐Chan Wei1
1Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung University, College of Medicine, Taipei, Taiwan
2Department of Plastic Surgery, The University of Texas Southwestern Medical Center, Dallas, Texas
3Department of Head and Neck Surgery, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taipei, Taiwan

Tóm tắt

AbstractBackgroundThe osteomyocutaneous peroneal artery‐based combined (OPAC) flap is a refinement of fibula osteoseptocutaneous flap, with the inclusion of partial soleus muscle based on an independent myocutaneous perforator.MethodsSeventeen men underwent composite oromandibular reconstruction using an OPAC flap. Flaps were raised with 1 or 2 skin paddles and 2 to 3 bone segments. In 8 cases, a portion of soleus muscle was included.ResultsAll flaps survived, but partial failure occurred in 2 cases (11.7%). At a mean follow‐up of 25.3 ± 19.4 months, 6 of 12 patients tolerated a regular diet, 5 a soft diet, and 1 a liquid diet. Speech was normal in 2 patients, intelligible in 4, and slurred in 6.ConclusionAdvantages of the OPAC flap include a single donor site, 1 pair of recipient vessels, versatile 3‐dimensional inset, adequate soft tissue augmentation, and better aesthetic and functional outcomes. © 2008 Wiley Periodicals, Inc. Head Neck, 2009

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Thông tin xuất bản

Head and Neck

Tập 31 Số 3

361-370

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