Peroneal Flap in Tongue Reconstruction Ying-Sheng Lin / Kuo-Chung - - PowerPoint PPT Presentation

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peroneal flap in tongue reconstruction
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Peroneal Flap in Tongue Reconstruction Ying-Sheng Lin / Kuo-Chung - - PowerPoint PPT Presentation

Jul 10, 2023 215 likes •362 views

Peroneal Flap in Tongue Reconstruction Ying-Sheng Lin / Kuo-Chung Yang Kaohsiung Veterans General Hospital Taiwan Disclosure of Relevant Financial Interests for All Authors: Nothing to disclose Options for Tongue Reconstruction(I)

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SLIDE 1

Peroneal Flap in Tongue Reconstruction

Ying-Sheng Lin / Kuo-Chung Yang Kaohsiung Veterans General Hospital Taiwan

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SLIDE 2
  • Disclosure of Relevant Financial

Interests for All Authors: Nothing to disclose

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SLIDE 3

Options for Tongue Reconstruction(I)

  • Maintain mobility

üInfrahyhoid myofascial flap üMedial sural artery perforator flap üRadial forearm flap üUlnar forearm flap üAnterolateral thigh flap

  • Plast. Reconstr. Surg. 126: 1967, 2010
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Options for Tongue Reconstruction(II)

  • Provide bulk

üRectus abdominis myocutaneous flap üLatissimus dorsi myocutaneous flap üPectoralis major myocutaneous flap üTrapezius island flap üAnterolateral thigh flap

  • Plast. Reconstr. Surg. 126: 1967, 2010
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Objective

  • To present the peroneal flap as a

feasible option for tongue reconstruction

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Material and Methods (I)

  • From 1996 to 2013, 43 peroneal flaps

for tongue reconstruction

  • Depending on the size and location of

defect:

Ø24(56%) pure cutaneous flaps Ø19(44%) myocutaneous flaps

ü 5 carry soleus m. ü 14 carry flexor hallucis longus m.

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Material and Methods (II)

  • Functional evaluations:

üSpeech: 4=normal, 3=intelligible, 2=slurred, 1=tracheostomy required üDiet: 4: normal, 3=soft, 2=liquid, 1=NG tube

  • Cosmetic evaluations:

ü4=excellent, 3=good, 2=fair, 1=poor

  • Plast. Reconstr. Surg. 126: 1967, 2010
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Results

  • Flap failure: 3/43 (7%)
  • Postoperative complications: partial

necrosis 1/43(2.3%), fistula formation 1/43(2.3%)

  • Functional outcomes ( 9 p’ts, F/U:31mos)

üSpeech: 3.2±0.67 üDiet: 3.1±0.78

  • Cosmetic outcome:3.3±0.87
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Case 1

preop Peroneal flap postop F/U at 6 wks

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Case 2

preop Peroneal flap with a muscle bulk The muscle used as defect filler F/U at 3 wks

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Case 3

preop Peroneal flap F/U at 2.5wks F/U at 3 mos

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Conclusions

  • For a hemiglossectomy defect, a thin

and pliable peroneal flap --> maintain mobility

  • A peroneal flap with muscle 

provide additional bulk to fill the adjacent defect

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SLIDE 13

Significance of the study

  • Peroneal flap is a feasible option for

tongue reconstruction