Khalid Farrukh Aslam, Rehman Saif Ur, Haq Ata Ul, Riaz Ahsan, Saleem Muhammad, Rabbani Muhammad Jibran, Amin Muhammad, Mujahid Abdul Malik, Alvi Hamid Fazeel, Tarar Moazzam Nazeer
Jinnah Burn and Reconstructive Surgery Centre, Allama Iqbal Medical College, Lahore, Pakistan.
J Ayub Med Coll Abbottabad. 2018 Apr-Jun;30(2):155-158.
To assess the outcome of Medial Sural Artery Perforator Flap (MSAP Flap) as an option for the soft tissue reconstruction of head and neck and limbs.
This descriptive case series was conducted at Jinnah Burn and Reconstructive Surgery Center, Lahore during October 2016 to August 2017. All patients in whom MSAP flap (free and pedicled) was performed for reconstruction are included. Patients were followed at one week and one month after the discharge and data was entered into the proformas.
In total, 18 patients were operated with this flap. Free and pedicled MSAP flap were performed for reconstruction of soft tissue defects in the head and neck and the lower limb. The maximum dimensions of the flap were 14 cm length and 10 cm width. The maximum pedicle length was 16cm. All flaps survived and showed good outcome. There was necrosis of the distal margin of a pedicled flap, but no case of venous congestion and flap failure was observed. The flap donor site was closed primarily in 7 patients while split skin graft was used in the rest of the patients.
The MSAP flap provides a thin skin paddle and has minimal donor site morbidity as compared to the other options. It is a good addition to the armamentarium of perforator flaps which are thin and pliable, can be harvested by two team approaches, under the tourniquet and has a hidden donor site.
评估腓肠内侧动脉穿支皮瓣（MSAP皮瓣）作为头颈部和四肢软组织重建选择的效果。
本描述性病例系列于2016年10月至2017年8月在拉合尔真纳烧伤与重建外科中心进行。纳入所有接受MSAP皮瓣（游离和带蒂）重建手术的患者。患者在出院后1周和1个月进行随访，并将数据录入表格。
总共18例患者接受了该皮瓣手术。游离和带蒂MSAP皮瓣用于头颈部和下肢软组织缺损的重建。皮瓣最大尺寸为长14cm、宽10cm。最大蒂长为16cm。所有皮瓣均存活且效果良好。1例带蒂皮瓣远端边缘出现坏死，但未观察到静脉淤血和皮瓣失败的病例。7例患者皮瓣供区直接缝合，其余患者采用中厚皮片移植。
与其他选择相比，MSAP皮瓣提供薄的皮瓣，供区并发症最少。它是对穿支皮瓣武器库的一个很好补充，这些穿支皮瓣薄且柔韧，可通过两组手术方法在止血带下切取，且供区隐蔽。
