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Revista Española de Cirugía Oral y Maxilofacial

On-line version ISSN 2173-9161Print version ISSN 1130-0558


ARRIBAS-GARCIA, Ignacio et al. Medial sural flap: a new flap for maxillofacial reconstruction. Rev Esp Cirug Oral y Maxilofac [online]. 2012, vol.34, n.4, pp.151-155. ISSN 2173-9161.

Introduction: Microsurgical reconstruction of craniofacial mucocutaneous defects have been performed for many years using well-known techniques, that are mainly based on flaps from the radial forearm, the anterolateral thigh and lateral arm, among others. We present the medial sural artery perforator flap, a new vascularized fasciocutaneous flap for head and neck reconstruction. Material and methods: We present four patients with oral squamous cell carcinoma. A medial sural artery flap was performed for the oral reconstruction after tumour ablation surgery. Results: The medial sural flap showed excellent adaptability and adequate viability in all cases, with good functional and aesthetic results and low donor site morbidity. Conclusion: We present a new reconstructive technique in head and neck defects.

Keywords : Microsurgery; Medial sural; Head and neck reconstruction; Oral squamous cell carcinoma; Free flap.

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