Osteomyocutaneous peroneal artery-based combined flap for reconstruction of composite and en bloc mandibular defects

Ming Huei Cheng; Michel Saint-Cyr; Rozina S. Ali; Kai Ping Chang; Sheng Po Hao; Fu Chan Wei

doi:10.1002/hed.20969

Osteomyocutaneous peroneal artery-based combined flap for reconstruction of composite and en bloc mandibular defects

Ming Huei Cheng^*, Michel Saint-Cyr, Rozina S. Ali, Kai Ping Chang, Sheng Po Hao, Fu Chan Wei

^*Corresponding author for this work

Research output: Contribution to journal › Journal Article › peer-review

48 Scopus citations

Abstract

Background. The osteomyocutaneous peroneal artery-based combined (OPAC) flap is a refinement of fibula osteoseptocutaneous flap, with the inclusion of partial soleus muscle based on an independent myocutaneous perforator. Methods. Seventeen men underwent composite oromandibular reconstruction using an OPAC flap. Flaps were raised with 1 or 2 skin paddles and 2 to 3 bone segments. In 8 cases, a portion of soleus muscle was included. Results. All flaps survived, but partial failure occurred in 2 cases (11.7%). At a mean follow-up of 25.3 ± 19.4 months, 6 of 12 patients tolerated a regular diet, 5 a soft diet, and 1 a liquid diet. Speech was normal in 2 patients, intelligible in 4, and slurred in 6. Conclusion. Advantages of the OPAC flap include a single donor site, 1 pair of recipient vessels, versatile 3-dimensional inset, adequate soft tissue augmentation, and better aesthetic and functional outcomes.

Original language	English
Pages (from-to)	361-370
Number of pages	10
Journal	Head and Neck
Volume	31
Issue number	3
DOIs	https://doi.org/10.1002/hed.20969
State	Published - 03 2009

Keywords

Composite mandibular defect
Fibula osteoseptocutaneous flap
Mandibular reconstruction
Osteomyocutaneous
Peroneal artery-based combined flap

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10.1002/hed.20969

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@article{46210efd35594d6b82cac1235da565f7,

title = "Osteomyocutaneous peroneal artery-based combined flap for reconstruction of composite and en bloc mandibular defects",

abstract = "Background. The osteomyocutaneous peroneal artery-based combined (OPAC) flap is a refinement of fibula osteoseptocutaneous flap, with the inclusion of partial soleus muscle based on an independent myocutaneous perforator. Methods. Seventeen men underwent composite oromandibular reconstruction using an OPAC flap. Flaps were raised with 1 or 2 skin paddles and 2 to 3 bone segments. In 8 cases, a portion of soleus muscle was included. Results. All flaps survived, but partial failure occurred in 2 cases (11.7%). At a mean follow-up of 25.3 ± 19.4 months, 6 of 12 patients tolerated a regular diet, 5 a soft diet, and 1 a liquid diet. Speech was normal in 2 patients, intelligible in 4, and slurred in 6. Conclusion. Advantages of the OPAC flap include a single donor site, 1 pair of recipient vessels, versatile 3-dimensional inset, adequate soft tissue augmentation, and better aesthetic and functional outcomes.",

keywords = "Composite mandibular defect, Fibula osteoseptocutaneous flap, Mandibular reconstruction, Osteomyocutaneous, Peroneal artery-based combined flap",

author = "Cheng, {Ming Huei} and Michel Saint-Cyr and Ali, {Rozina S.} and Chang, {Kai Ping} and Hao, {Sheng Po} and Wei, {Fu Chan}",

year = "2009",

month = mar,

doi = "10.1002/hed.20969",

language = "英语",

volume = "31",

pages = "361--370",

journal = "Head and Neck",

issn = "1043-3074",

publisher = "John Wiley & Sons Inc.",

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T1 - Osteomyocutaneous peroneal artery-based combined flap for reconstruction of composite and en bloc mandibular defects

AU - Cheng, Ming Huei

AU - Saint-Cyr, Michel

AU - Ali, Rozina S.

AU - Chang, Kai Ping

AU - Hao, Sheng Po

AU - Wei, Fu Chan

PY - 2009/3

Y1 - 2009/3

N2 - Background. The osteomyocutaneous peroneal artery-based combined (OPAC) flap is a refinement of fibula osteoseptocutaneous flap, with the inclusion of partial soleus muscle based on an independent myocutaneous perforator. Methods. Seventeen men underwent composite oromandibular reconstruction using an OPAC flap. Flaps were raised with 1 or 2 skin paddles and 2 to 3 bone segments. In 8 cases, a portion of soleus muscle was included. Results. All flaps survived, but partial failure occurred in 2 cases (11.7%). At a mean follow-up of 25.3 ± 19.4 months, 6 of 12 patients tolerated a regular diet, 5 a soft diet, and 1 a liquid diet. Speech was normal in 2 patients, intelligible in 4, and slurred in 6. Conclusion. Advantages of the OPAC flap include a single donor site, 1 pair of recipient vessels, versatile 3-dimensional inset, adequate soft tissue augmentation, and better aesthetic and functional outcomes.

AB - Background. The osteomyocutaneous peroneal artery-based combined (OPAC) flap is a refinement of fibula osteoseptocutaneous flap, with the inclusion of partial soleus muscle based on an independent myocutaneous perforator. Methods. Seventeen men underwent composite oromandibular reconstruction using an OPAC flap. Flaps were raised with 1 or 2 skin paddles and 2 to 3 bone segments. In 8 cases, a portion of soleus muscle was included. Results. All flaps survived, but partial failure occurred in 2 cases (11.7%). At a mean follow-up of 25.3 ± 19.4 months, 6 of 12 patients tolerated a regular diet, 5 a soft diet, and 1 a liquid diet. Speech was normal in 2 patients, intelligible in 4, and slurred in 6. Conclusion. Advantages of the OPAC flap include a single donor site, 1 pair of recipient vessels, versatile 3-dimensional inset, adequate soft tissue augmentation, and better aesthetic and functional outcomes.

KW - Composite mandibular defect

KW - Fibula osteoseptocutaneous flap

KW - Mandibular reconstruction

KW - Osteomyocutaneous

KW - Peroneal artery-based combined flap

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DO - 10.1002/hed.20969

M3 - 文章

C2 - 19073007

AN - SCOPUS:62249207334

SN - 1043-3074

VL - 31

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EP - 370

JO - Head and Neck

JF - Head and Neck

IS - 3

ER -

Osteomyocutaneous peroneal artery-based combined flap for reconstruction of composite and en bloc mandibular defects

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Keywords

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