Journal of Prevention and Treatment for Stomatological Diseases ›› 2018, Vol. 26 ›› Issue (8): 514-518.doi: 10.12016/j.issn.2096-1456.2018.08.007

• Cinical Study • Previous Articles     Next Articles

Comparative study of donor site complications between the medial sural artery perforator flap

Qiuju CUI1(), Chi MAO2, Xiuwen LUAN1, Yang WANG2, Lei ZHANG2()   

  1. 1. Department of Oral and Maxillofacial Surgery, Stomatological Hospital, Southern Medical University, Guangzhou 510280, China
    2. Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing 100081, China
  • Received:2018-05-10 Revised:2018-06-21 Online:2018-08-20 Published:2018-08-30

Abstract:

Objective To demonstrate the advantages of performing medial sural artery perforator flap compared with forearm flap. Methods Between April 2010 and April 2011, 20 clinical cases were reconstructed using the medial sural artery perforator flap technique and compared with 20 forearm flap cases. Data on recent complications (in 2 weeks) and late complications (after 3 months) were collected. Results Of the 20 medial sural artery perforator flaps, Only 1 case needed a skin graft, while 19 cases were primarily closed, and 1 case occurred muscle necrosis. Only linear scar was found in the postoperative donor area, and the effect on appearance and function was slight. Of the 20 forearm flaps, all cases needed a skin graft. For the recent complications, 3 cases of effusion under the skin graft, 2 cases of partial necrosis and 2 cases of wound dehiscence were observed. For the late complications of the forearm, 16 cases of an abnormal sensation were observed in the forearm group and 5 cases of an abnormal sensation were observed in the medial sural artery perforator flap group, and these differences were statistically significant (P <0.05). Significant differences were not observed in the other subjective contrasts(P >0.05). Scarring and pigmentation were much more serious in the forearm cases than the medial sural artery cases (P <0.05), and significant differences in the functional objective examination results were not observed between the two groups (P >0.05). Conclusion The medial sural artery perforator flap represents a good alternative for oral and maxillofacial reconstructions of small- and medium-sized defects, and it presents advantages over the forearm flap since it has less donor-site morbidity.

Key words: Medial sural artery perforator flap, Forearm flap, Donor site complication, Microsurgery, Reconstruction

CLC Number: 

  • R78

Figure 1

Recent postoperative complications observed in both groups"

Table 1

Subjective contrast of the donor site n(%)"

组别 例数 肌力减退 关节活动受限 感觉异常 供区外观
腓肠内侧动脉穿支皮瓣组 14 2(14.29) 1(7.14) 5(35.71) 2(14.29)
前臂皮瓣组 16 7(43.75) 5(31.25) 16(100.00) 5(31.25)
χ2 3.087 2.712 14.694 1.714
P > 0.05 > 0.05 < 0.05 > 0.05

Table 2

Objective contrast of the functions of the donor site n(%)"

组别 例数 肌力减退 关节活动受限 感觉异常
腓肠内侧动脉穿支皮瓣组 14 0(0.00) 1(7.14) 14(100.00)
前臂皮瓣组 16 2(12.50) 2(12.50) 16(100.00)
χ2 1.875 0.238 -
P > 0.05 > 0.05 -

Figure 2

Images of the donor-site scars"

Table 3

Objective contrast of the appearance of the donor site n(%)"

组别 例数 增生瘢痕 色素沉着
腓肠内侧动脉穿支皮瓣组 14 2(14.28) 1(7.14)
前臂皮瓣组 16 9(56.25) 16(100.00)
χ2 5.662 26.218
P 0.026 < 0.001
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