Division of Plastic and Reconstructive Surgery, Kaohsiung Veterans General Hospital, Taiwan; Division of Plastic and Reconstructive Surgery, National Taiwan University Hospital Yunlin Branch, Taiwan; College of Medicine, National Taiwan University, Taiwan.
Division of Plastic and Reconstructive Surgery, Kaohsiung Veterans General Hospital, Taiwan; National Defense Medical Center, Taiwan; Department of Surgery, College of Medicine, National Yang-Ming University, Taiwan.
J Plast Reconstr Aesthet Surg. 2021 Jul;74(7):1515-1523. doi: 10.1016/j.bjps.2020.11.039. Epub 2020 Dec 10.
A peroneal flap, the boneless version of fibula flap, is considered as the equivalent of radial forearm flap of the lower leg. Because it is thinner than an anterolateral thigh (ALT) flap, the use of a peroneal flap is a viable option for the repair of soft tissue defects when a thin flap could bring about better functional and cosmetic outcomes. In this article, we describe the details of peroneal flap harvest and present our experience with the use of peroneal flaps for head and neck reconstruction.
Between 1996 and 2017, a total of 265 peroneal flaps were used to reconstruct a variety of head and neck defects. With the same vascular anatomy and slight modifications to the harvesting technique of a fibula flap, a peroneal flap can be harvested within 1-2 h. All medical records were retrospectively reviewed.
A peroneal flap can be harvested as different types of chimeric flaps to fit a variety of head and neck defects. The peroneal flap failure rate was 3.4% and the postoperative complication rate was 12.8%.
A peroneal flap might be an alternative option for the reconstruction of head and neck defects.
比腓骨皮瓣更薄的腓动脉皮瓣，被认为是小腿的桡侧前臂皮瓣的无骨版本。由于它比股前外侧皮瓣更薄，因此在需要更薄的皮瓣才能带来更好的功能和美容效果时，使用腓动脉皮瓣是修复软组织缺损的可行选择。本文介绍了腓动脉皮瓣采集的详细信息，并介绍了我们使用腓动脉皮瓣进行头颈部重建的经验。
1996 年至 2017 年间，共使用 265 个腓动脉皮瓣修复各种头颈部缺损。腓动脉皮瓣的血管解剖结构相同，只需对腓骨皮瓣的采集技术稍作修改，即可在 1-2 小时内完成采集。所有病历均进行回顾性分析。
腓动脉皮瓣可作为不同类型的嵌合皮瓣，以适应各种头颈部缺损。腓动脉皮瓣的失败率为 3.4%，术后并发症发生率为 12.8%。
腓动脉皮瓣可能是头颈部缺损重建的另一种选择。
