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Article: Anatomical study and clinical applications of free posterior tibial flap in the head and neck region

TitleAnatomical study and clinical applications of free posterior tibial flap in the head and neck region
Authors
Issue Date2011
PublisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.plasreconsurg.com
Citation
Plastic And Reconstructive Surgery, 2011, v. 128 n. 3, p. 131e-139e How to Cite?
AbstractBackground: The purpose of this study was to examine the anatomical features, clinical applications, and donor-site morbidities of the free posterior tibial flap. Methods: The posterior tibial vascular system was examined in 30 fresh cadaver legs. This was followed by a clinical study involving patients with free posterior tibial flap reconstruction of defects in the head and neck region after tumor extirpation. Potential donor-site morbidities were studied at 1 year after surgery. Results: The mean caliber of the posterior tibial artery and the venae comitantes in the cadaveric limbs was 2.7, 2.9, and 2.17 mm, respectively. The mean number of septocutaneous perforators was 2.85 per leg, clustering in the middle and distal thirds of the medial surface of the leg. The mean thickness of the skin and subcutaneous fat in the region was 4.43 mm. In the clinical study, 64 patients with superficial cutaneous and mucosal defects were recruited. The majority of the patients had carcinoma of the oral cavity. All flaps survived. Three patients (4.7 percent) developed mild infection of the donor site. None of the patients have problems walking on level ground. There was no significant reduction in range of ankle movement, nor was there evidence of vascular compromise of the lower limb, either at rest or after exercise. Conclusions: The free posterior tibial flap is reliable because of its constant vascular anatomy. It is thin and pliable, making it particularly suitable for resurfacing superficial cutaneous and mucosal defects. Although skin grafting is required to repair the donor site, the associated morbidity is low. © 2011 by the American Society of Plastic Surgeons.
Persistent Identifierhttp://hdl.handle.net/10722/137552
ISSN
2015 Impact Factor: 3.087
2015 SCImago Journal Rankings: 1.986
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorChan, YWen_HK
dc.contributor.authorNg, RWMen_HK
dc.contributor.authorWei, WIen_HK
dc.date.accessioned2011-08-26T14:27:52Z-
dc.date.available2011-08-26T14:27:52Z-
dc.date.issued2011en_HK
dc.identifier.citationPlastic And Reconstructive Surgery, 2011, v. 128 n. 3, p. 131e-139een_HK
dc.identifier.issn0032-1052en_HK
dc.identifier.urihttp://hdl.handle.net/10722/137552-
dc.description.abstractBackground: The purpose of this study was to examine the anatomical features, clinical applications, and donor-site morbidities of the free posterior tibial flap. Methods: The posterior tibial vascular system was examined in 30 fresh cadaver legs. This was followed by a clinical study involving patients with free posterior tibial flap reconstruction of defects in the head and neck region after tumor extirpation. Potential donor-site morbidities were studied at 1 year after surgery. Results: The mean caliber of the posterior tibial artery and the venae comitantes in the cadaveric limbs was 2.7, 2.9, and 2.17 mm, respectively. The mean number of septocutaneous perforators was 2.85 per leg, clustering in the middle and distal thirds of the medial surface of the leg. The mean thickness of the skin and subcutaneous fat in the region was 4.43 mm. In the clinical study, 64 patients with superficial cutaneous and mucosal defects were recruited. The majority of the patients had carcinoma of the oral cavity. All flaps survived. Three patients (4.7 percent) developed mild infection of the donor site. None of the patients have problems walking on level ground. There was no significant reduction in range of ankle movement, nor was there evidence of vascular compromise of the lower limb, either at rest or after exercise. Conclusions: The free posterior tibial flap is reliable because of its constant vascular anatomy. It is thin and pliable, making it particularly suitable for resurfacing superficial cutaneous and mucosal defects. Although skin grafting is required to repair the donor site, the associated morbidity is low. © 2011 by the American Society of Plastic Surgeons.en_HK
dc.languageengen_US
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.plasreconsurg.comen_HK
dc.relation.ispartofPlastic and Reconstructive Surgeryen_HK
dc.titleAnatomical study and clinical applications of free posterior tibial flap in the head and neck regionen_HK
dc.typeArticleen_HK
dc.identifier.emailChan, YW: jywchan1@hku.hken_HK
dc.identifier.emailWei, WI: hrmswwi@hku.hken_HK
dc.identifier.authorityChan, YW=rp01314en_HK
dc.identifier.authorityWei, WI=rp00323en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1097/PRS.0b013e318221db67en_HK
dc.identifier.scopuseid_2-s2.0-80052441130en_HK
dc.identifier.hkuros190789en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-80052441130&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume128en_HK
dc.identifier.issue3en_HK
dc.identifier.spage131een_HK
dc.identifier.epage139een_HK
dc.identifier.eissn1529-4242-
dc.identifier.isiWOS:000294288100005-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridChan, YW=27171772200en_HK
dc.identifier.scopusauthoridNg, RWM=7102153861en_HK
dc.identifier.scopusauthoridWei, WI=7403321552en_HK

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