Evaluation of Functional and Esthetic Outcomes in Oral Cancer Patients Reconstructed with Medial Sural Artery Perforator Free Flap.

IF 0.6 Q4 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Maxillofacial & Oral Surgery Pub Date : 2026-02-01 Epub Date: 2023-08-07 DOI:10.1007/s12663-023-01985-6

Adarsh Desai, Shakti Deora, Aditi Singh, Hastee Bhanushali

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引用次数: 0

Abstract

Background: Reconstruction with medial sural artery perforator flap is gaining popularity and is subject of study since a decade in oral squamous cell carcinoma cases. This flap is proving to have more benefits over other free flap reconstructive options. Our study presents an evaluation of functional and esthetic outcomes in a large number of OSCC patients reconstructed with MSAP flaps.

Material and methods: Total number of 120 patients from 2020 to 2022 with OSCCs underwent reconstruction using MSAPs. The carcinoma involved buccal mucosa, tongue, floor of mouth. Pre- and intra-operative parameters were evaluated along with complications. Functional evaluation in terms of speech and diet was carried out. Patient's visual analog scores (VAS) were recorded for esthetic evaluation.

Results: Only 10 cases showed failure due to venous and arterial congestion. Normal speech with unrestricted diet intake was achieved in majority of the patients. Primary closure was performed at the donor site in 98.3% of patients, which showed good esthetic results.

Conclusion: MSAP flap is a versatile reconstructive method for small to medium defects in oral and maxillofacial region. The flap is less bulky, has a longer vascular pedicle, is pliable and has minimum donor site morbidity.

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腓肠内侧动脉穿支游离皮瓣重建口腔癌患者的功能及美观效果评价

背景：近十年来，腓肠内侧动脉穿支皮瓣在口腔鳞状细胞癌中的重建越来越受欢迎，并成为研究的主题。这种皮瓣被证明比其他自由皮瓣重建方案有更多的好处。我们的研究对大量使用MSAP皮瓣重建的OSCC患者的功能和美学结果进行了评估。材料和方法：2020年至2022年，共有120例OSCCs患者使用MSAPs进行重建。癌累及颊黏膜、舌、口腔底。评估术前和术中参数及并发症。从言语和饮食方面进行功能评价。记录患者视觉模拟评分（VAS）进行审美评价。结果：仅10例因静脉和动脉充血而失败。大多数患者在饮食不受限制的情况下都能正常说话。98.3%的患者在供区进行了一次闭合，获得了良好的美学效果。结论：MSAP皮瓣是修复口腔颌面部中小缺损的一种通用方法。皮瓣体积小，血管蒂长，柔韧性好，供区发病率低。

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

Journal of Maxillofacial & Oral Surgery DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

1.90

自引率

0.00%

发文量

138

期刊介绍： This journal offers comprehensive coverage of new techniques, important developments and innovative ideas in Oral and Maxillofacial Surgery. Practice-applicable articles help develop the methods used to handle dentoalveolar surgery, facial injuries and deformities, TMJ disorders, oral cancer, jaw reconstruction, anesthesia and analgesia. The journal also includes specifics on new instruments, diagnostic equipment’s and modern therapeutic drugs and devices. Journal of Oral and Maxillofacial Surgery is recommended for first or priority subscription by the Dental Section of the Medical Library Association. Specific topics covered recently have included: ? distraction osteogenesis ? synthetic bone substitutes ? fibroblast growth factors ? fetal wound healing ? skull base surgery ? computer-assisted surgery ? vascularized bone grafts Benefits to authorsWe also provide many author benefits, such as free PDFs, a liberal copyright policy, special discounts on Elsevier publications and much more. Please click here for more information on our author services.