Donor Site Morbidity of the Medial Sural Artery Perforator (MSAP) Free Flap for Head & Neck Reconstruction.

IF 2.3 3区医学 Q1 OTORHINOLARYNGOLOGY

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2025-05-09 DOI:10.1002/hed.28187

Lillian W Dattilo, Emilie C M de Groot, Sarah Nyirjesy, Omar A Karadaghy, Elizabeth Noyes, Matthew E Spector, Jeremy D Richmon, Derrick T Lin, Mark A Varvares, Allen L Feng

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引用次数: 0

Abstract

Background: Minimal donor site morbidity is often cited as one of the main advantages of the medial sural artery perforator (MSAP) free flap; however, few studies have examined functional outcomes.

Methods: This retrospective cohort study analyzed patients undergoing MSAP for head and neck reconstruction from 2022 to 2024. A modified lower extremity functional scale (LEFS), with 80 being a maximum score, was administered to assess functional morbidity.

Results: Twenty two patients underwent successful MSAP flap. At < 1 month after surgery, the average LEFS was 56.0 (95% CI, 43.8-68.2). At 1-3 months, the average score was 63.0 (95% CI, 56.0-70.0); at 3-6 months, it was 75.0 (95% CI, 70.0-80.0), and at 6-12 months, it was 78.1 (95% CI, 75.4-80.0). Beyond 12 months, the average score was 79.8 (95% CI, 79.8-80.0).

Conclusions and relevance: The MSAP free flap is an excellent free tissue option for head & neck reconstruction with minimal donor site morbidity.

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腓肠内侧动脉穿支（MSAP）游离皮瓣用于头颈部重建的供区发病率。

背景：最小的供区发病率经常被认为是腓肠内侧动脉穿支（MSAP）游离皮瓣的主要优点之一；然而，很少有研究检查功能结果。方法：回顾性队列研究分析了2022年至2024年接受MSAP头颈部重建术的患者。采用改良的下肢功能量表（LEFS），最高评分为80分，用于评估功能发病率。结果：22例患者成功行MSAP皮瓣移植。结论和意义：MSAP游离皮瓣是头颈部重建的一种极好的游离组织选择，供区发病率最低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck 医学-耳鼻喉科学

CiteScore

7.00

自引率

6.90%

发文量

278

审稿时长

1.6 months

期刊介绍： Head & Neck is an international multidisciplinary publication of original contributions concerning the diagnosis and management of diseases of the head and neck. This area involves the overlapping interests and expertise of several surgical and medical specialties, including general surgery, neurosurgery, otolaryngology, plastic surgery, oral surgery, dermatology, ophthalmology, pathology, radiotherapy, medical oncology, and the corresponding basic sciences.