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Article: Free posterior tibial flap for head and neck reconstruction after tumor expiration

TitleFree posterior tibial flap for head and neck reconstruction after tumor expiration
Authors
KeywordsExternal coverage
Flap complication
Flap survival
Free flap
Head and neck reconstruction
Intraoral mucosal lining
Outcome
Posterior tibial artery
Posterior tibial flap
Posterior tibial nerve
Issue Date2008
PublisherJohn Wiley & Sons, Inc. The Journal's web site is located at http://www.laryngoscope.com/
Citation
Laryngoscope, 2008, v. 118 n. 2, p. 216-221 How to Cite?
AbstractBACKGROUND: Similar to the radial forearm flap, free tissue transfer of a fasciocutaneous flap is possible if the septocutaneous perforators of the posterior tibial vessels are preserved. OBJECTIVE: The authors report their clinical experience on using the free posterior tibial flap for primary reconstruction of head and neck defects after tumor extirpation. METHODS: Eleven patients were included between October of 2005 and March of 2007. Patients' clinical and demographic data were collected. The flap harvesting results and outcomes were retrospectively reviewed. Representative cases are presented for illustration. RESULT: There were nine men and two women, and their ages ranged from 34 to 83 (mean, 60.3) years. The flaps measured from 6 x 9 cm to 8 x 12 cm. Two cutaneous perforators were included in the majority of cases. The average flap thickness was 0.7 cm, and the average pedicle length was 14 cm. Flap survival was 100%. Skin grafts of all donor sites healed well. All patients were ambulatory early in the postoperative period, and there was no distal limb ischemia or cold intolerance on follow-up. Four patients needed postoperative adjuvant radiotherapy. CONCLUSION: Our study demonstrates that the posterior tibial flap is a safe and reliable flap for reconstruction of head and neck defects after tumor expiration. It has all the comparable properties of a radial forearm flap. In addition, a larger area of skin can be removed, and the graft donor site is less conspicuous. © The American Laryngological, Rhinological & Otological Society, Inc.
Persistent Identifierhttp://hdl.handle.net/10722/59904
ISSN
2015 Impact Factor: 2.272
2015 SCImago Journal Rankings: 1.342
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorNg, RWMen_HK
dc.contributor.authorChan, JYWen_HK
dc.contributor.authorMok, Ven_HK
dc.contributor.authorWei, WIen_HK
dc.date.accessioned2010-05-31T03:59:49Z-
dc.date.available2010-05-31T03:59:49Z-
dc.date.issued2008en_HK
dc.identifier.citationLaryngoscope, 2008, v. 118 n. 2, p. 216-221en_HK
dc.identifier.issn0023-852Xen_HK
dc.identifier.urihttp://hdl.handle.net/10722/59904-
dc.description.abstractBACKGROUND: Similar to the radial forearm flap, free tissue transfer of a fasciocutaneous flap is possible if the septocutaneous perforators of the posterior tibial vessels are preserved. OBJECTIVE: The authors report their clinical experience on using the free posterior tibial flap for primary reconstruction of head and neck defects after tumor extirpation. METHODS: Eleven patients were included between October of 2005 and March of 2007. Patients' clinical and demographic data were collected. The flap harvesting results and outcomes were retrospectively reviewed. Representative cases are presented for illustration. RESULT: There were nine men and two women, and their ages ranged from 34 to 83 (mean, 60.3) years. The flaps measured from 6 x 9 cm to 8 x 12 cm. Two cutaneous perforators were included in the majority of cases. The average flap thickness was 0.7 cm, and the average pedicle length was 14 cm. Flap survival was 100%. Skin grafts of all donor sites healed well. All patients were ambulatory early in the postoperative period, and there was no distal limb ischemia or cold intolerance on follow-up. Four patients needed postoperative adjuvant radiotherapy. CONCLUSION: Our study demonstrates that the posterior tibial flap is a safe and reliable flap for reconstruction of head and neck defects after tumor expiration. It has all the comparable properties of a radial forearm flap. In addition, a larger area of skin can be removed, and the graft donor site is less conspicuous. © The American Laryngological, Rhinological & Otological Society, Inc.en_HK
dc.languageengen_HK
dc.publisherJohn Wiley & Sons, Inc. The Journal's web site is located at http://www.laryngoscope.com/en_HK
dc.relation.ispartofLaryngoscopeen_HK
dc.subjectExternal coverageen_HK
dc.subjectFlap complicationen_HK
dc.subjectFlap survivalen_HK
dc.subjectFree flapen_HK
dc.subjectHead and neck reconstructionen_HK
dc.subjectIntraoral mucosal liningen_HK
dc.subjectOutcomeen_HK
dc.subjectPosterior tibial arteryen_HK
dc.subjectPosterior tibial flapen_HK
dc.subjectPosterior tibial nerveen_HK
dc.titleFree posterior tibial flap for head and neck reconstruction after tumor expirationen_HK
dc.typeArticleen_HK
dc.identifier.emailChan, JYW: jywchan1@hku.hken_HK
dc.identifier.emailWei, WI: hrmswwi@hku.hken_HK
dc.identifier.authorityChan, JYW=rp01314en_HK
dc.identifier.authorityWei, WI=rp00323en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1097/MLG.0b013e3181593dcben_HK
dc.identifier.pmid17989572-
dc.identifier.scopuseid_2-s2.0-40949127042en_HK
dc.identifier.hkuros149435en_HK
dc.identifier.hkuros204999-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-40949127042&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume118en_HK
dc.identifier.issue2en_HK
dc.identifier.spage216en_HK
dc.identifier.epage221en_HK
dc.identifier.isiWOS:000260661500004-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridNg, RWM=7102153861en_HK
dc.identifier.scopusauthoridChan, JYW=27171772200en_HK
dc.identifier.scopusauthoridMok, V=23467468700en_HK
dc.identifier.scopusauthoridWei, WI=7403321552en_HK

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