54 The versatility of the scapula-thoracodorsal artery perforator flap in head and neck reconstruction

Author(s):  
K. McVeigh ◽  
T. Martin ◽  
S. Parmar
2014 ◽  
Vol 72 (3) ◽  
pp. 332-336 ◽  
Author(s):  
Takuya Iida ◽  
Makoto Mihara ◽  
Hidehiko Yoshimatsu ◽  
Mitsunaga Narushima ◽  
Isao Koshima

2016 ◽  
Vol 137 (1) ◽  
pp. 257-266 ◽  
Author(s):  
Jerry Chih-Wei Wu ◽  
Jung-Ju Huang ◽  
Chung-Kan Tsao ◽  
Mohamed Abdelrahman ◽  
Georgios Kolios ◽  
...  

2014 ◽  
Vol 30 (07) ◽  
pp. 497-504 ◽  
Author(s):  
L. Levin ◽  
Xiao Zhou ◽  
Giuseppe Spinelli ◽  
Davide Lazzeri ◽  
Paolo Persichetti ◽  
...  

2019 ◽  
Author(s):  
zhenhu ren ◽  
Kun Wu ◽  
Wen-jun Yang ◽  
Yue He ◽  
Jing-Zhou Hu

Abstract Background Reconstruction of oral and maxillofacial defects requires soft and ductile flaps. Thoracodorsal artery perforator flap (TDAP) has good plasticity, but it is not widely used in the repair of oral and maxillofacial defects. The main aims of this study are to compare the skin elasticity and hardness of various free flaps commonly used in reconstructive surgery, and to explore the advantages and disadvantages of TDAP.Methods The elasticity and stiffness of the most commonly used free flaps in our department were measured by ElastiMeter and SkinFibroMeter. The elasticity and stiffness values of TDAP, anterolateral thigh flap, anterior medial femoral flap and forearm flap were measured respectively.Results The elasticity of TDAP was the lowest among all flaps, and the difference was statistically significant, except for the forearm flap (p = 0.000; p = 0.000; p = 0.06). The stiffness of TDAP was the lowest among all skin flaps, and the difference was statistically significant (p = 0.000; p = 0.000; p = 0.000).Conclusions TDAP is indeed suitable for reconstruction of head and neck defect, especially oral and oropharyngeal defect. Due to the ductile texture of TDAP, it is very conducive to the recovery of the morphology and function of oral and oropharyngeal organs.


Author(s):  
M. M. Hosain

Introduction: Since first described by Cadavas, A free medial sural artery perforator flap (MSAP) is getting popularity day by day. Specially, where the micro surgeons are desired to have thin, pliable flap with long pedicle and less donor site morbidities. For its above-mentioned characteristics and good outcome, it is now considered as one of the workhorse flaps for head and neck reconstruction. Aims and Objectives: The aim was to find out the feasibilities and versatilities of this flap as workhorse in head and neck reconstruction. As well as taking into consideration of its low donor site morbidities. Methods: A literature search has been performed in July 2020 in various data base including Pub Med, Trip database, Medline and Google Scholler to find out the outcome of head and neck reconstruction with free MSAP Flap. Data then were tabulated and analysed using Microsoft Excel datasheet. Results: The results were promising. Overall, flap survival rate was 95%. Mean flap dimension was 9.3 cm x5.5 cm. Average pedicle length was 10.5 cm. Mean flap thickness was 6mm. Overall complication rate was 16% including 6% wound related and 2% donor site complication. Most of the cases donor site have closed directly (87%). Conclusion: Free MSAP Flap is an ideal workhorse flap for head and neck reconstruction. However, as most of the literatures were case series or personal experiences of surgeons, a multicentre trial with large sample can give us more information.


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