Medial sural artery perforator flap in head & neck reconstruction.

IF 1.9 4区医学 Q2 OTORHINOLARYNGOLOGY

Current Opinion in Otolaryngology & Head and Neck Surgery Pub Date : 2025-05-19 DOI:10.1097/MOO.0000000000001055

Omar A Karadaghy, Allen L Feng

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引用次数: 0

Abstract

Purpose of review: This review focuses on the recent advancements in the application of the medial sural artery perforator (MSAP) flap for head and neck reconstruction. It highlights key anatomical findings, surgical techniques, comparative outcomes, and future perspectives from the last 1-3 years of research.

Recent findings: The MSAP flap has emerged as a reliable option for head and neck reconstruction due to its thin, pliable nature and minimal donor-site morbidity. Recent anatomical studies have refined understanding of its vascular consistency, with perforators located 8-12 cm distal to the popliteal crease and pedicle lengths averaging 10.1 cm. Functional outcomes demonstrate superiority over bulkier alternatives such as the anterolateral thigh flap, particularly in intraoral reconstructions, while donor-site morbidity remains significantly lower than that of the radial forearm free flap.

Summary: The MSAP flap provides an optimal balance of form and function for complex head and neck reconstructions. Its consistent anatomy and favorable postoperative outcomes underscore its growing role in modern reconstructive surgery. Further multicenter trials are essential to establish standardized protocols and enhance outcomes.

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腓肠内侧动脉穿支皮瓣在头颈部重建术中的应用。

综述目的：本文综述了腓肠内侧动脉穿支皮瓣在头颈部重建中的应用进展。它强调了过去1-3年研究的关键解剖发现、手术技术、比较结果和未来前景。最近的发现：MSAP皮瓣由于其薄、柔韧的特性和最小的供区发病率而成为头颈部重建的可靠选择。最近的解剖学研究对其血管一致性有了更好的了解，穿支位于腘沟远端8-12厘米处，蒂平均长度为10.1厘米。功能结果显示其优于体积较大的替代方案，如大腿前外侧皮瓣，特别是在口腔内重建中，而供体部位的发病率仍然明显低于前臂桡骨游离皮瓣。摘要：MSAP皮瓣为复杂的头颈部重建提供了形态和功能的最佳平衡。其一致的解剖结构和良好的术后效果强调了其在现代重建手术中日益重要的作用。进一步的多中心试验对于建立标准化方案和提高结果至关重要。

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

Current Opinion in Otolaryngology & Head and Neck Surgery OTORHINOLARYNGOLOGY-

CiteScore

2.90

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Otolaryngology & Head and Neck Surgery is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With eleven disciplines published across the year – including maxillofacial surgery, head and neck oncology and speech therapy and rehabilitation – every issue also contains annotated references detailing the merits of the most important papers.