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

TitleAnatomical study and clinical applications of the free posterior tibial flap in the head and neck region
Authors
KeywordsMedical sciences
Otorhinolaryngology
Issue Date2012
PublisherSpringer Verlag.
Citation
The 5th European Conference On Head & Neck Oncology (ECHNO 2012), Poznan, Poland, 18-21 April 2012. In European Archives of Oto-Rhino-Laryngology, 2012, v. 269 n. 4, p. 1330, abstract no, OP34 How to Cite?
AbstractBACKGROUND: To study the anatomical features, clinical applications and the donor site morbidities of the free posterior tibial flap. METHODS: The posterior tibial vascular system was examined on 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 tumour 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 were 2.7, 2.9 and 2.17 mm, respectively. The mean numbers of septocutaneous perforators were 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. Majority of the patients had carcinoma of the oral cavity. All flaps survived. Three (4.7%) patients developed mild infection of the donor site. None of the patients have problem walking on level ground. There was no significant reduction in the range of ankle movement, nor was there evidence of vascular compromise of the lower limb, both at rest and 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 graft is required to repair the donor site, the associated morbidity is low.
DescriptionThis journal issue entitled: Abstracts for the 5th European Conference on Head and Neck Oncology 18–21 April 2012 in Poznan, Poland
Oral presentations: OP34
Persistent Identifierhttp://hdl.handle.net/10722/153142
ISSN
2015 Impact Factor: 1.627
2015 SCImago Journal Rankings: 0.755

 

DC FieldValueLanguage
dc.contributor.authorChan, JYWen_US
dc.contributor.authorWei, IW-
dc.date.accessioned2012-07-16T09:58:05Z-
dc.date.available2012-07-16T09:58:05Z-
dc.date.issued2012en_US
dc.identifier.citationThe 5th European Conference On Head & Neck Oncology (ECHNO 2012), Poznan, Poland, 18-21 April 2012. In European Archives of Oto-Rhino-Laryngology, 2012, v. 269 n. 4, p. 1330, abstract no, OP34en_US
dc.identifier.issn0937-4477-
dc.identifier.urihttp://hdl.handle.net/10722/153142-
dc.descriptionThis journal issue entitled: Abstracts for the 5th European Conference on Head and Neck Oncology 18–21 April 2012 in Poznan, Poland-
dc.descriptionOral presentations: OP34-
dc.description.abstractBACKGROUND: To study the anatomical features, clinical applications and the donor site morbidities of the free posterior tibial flap. METHODS: The posterior tibial vascular system was examined on 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 tumour 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 were 2.7, 2.9 and 2.17 mm, respectively. The mean numbers of septocutaneous perforators were 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. Majority of the patients had carcinoma of the oral cavity. All flaps survived. Three (4.7%) patients developed mild infection of the donor site. None of the patients have problem walking on level ground. There was no significant reduction in the range of ankle movement, nor was there evidence of vascular compromise of the lower limb, both at rest and 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 graft is required to repair the donor site, the associated morbidity is low.-
dc.languageengen_US
dc.publisherSpringer Verlag.-
dc.relation.ispartofEuropean Archives of Oto-Rhino-Laryngologyen_US
dc.rightsThe original publication is available at www.springerlink.com-
dc.subjectMedical sciences-
dc.subjectOtorhinolaryngology-
dc.titleAnatomical study and clinical applications of the free posterior tibial flap in the head and neck regionen_US
dc.typeConference_Paperen_US
dc.identifier.emailChan, JYW: jywchan1@hku.hken_US
dc.identifier.emailWei, IW: hrmswwi@hkucc.hku.hk-
dc.identifier.authorityChan, JYW=rp01314en_US
dc.identifier.hkuros200748en_US
dc.identifier.volume269-
dc.identifier.issue4-
dc.identifier.spage1330-
dc.identifier.epage1330-
dc.publisher.placeGermany-

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