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[Medial sural artery perforator fasciocutaneous flap for the reconstruction of tongue and mouth base].

BACKGROUND
Despite the well-known high donor site morbidity of the radial forarm flap, it has still remained the first option for the reconstruction of the tongue and the floor of mouth. However, a desire for an alternative, thin fasciocutaneous flap has led to the use of the median sural artery perforator flap.


METHODS
Three patients had reconstructive surgery used MSAP flaps, after radical tumor excision.


RESULTS
The flap was based in all cases on a dominant perforator vessel. The size of the skin paddles ranged between 20-32 cm2, and the length of the vascular pedicle between 8.2-11 cm. The mean thickness of the flap was 6.5 mm.


CONCLUSION
MSAP flap is an ideal solution for surgical reconstruction in the oral cavity.