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Evaluation of Functional and Esthetic Outcomes in Oral Cancer Patients Reconstructed with Medial Sural Artery Perforator Free Flap

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Abstract

Background

Reconstruction with medial sural artery perforator flap is gaining popularity and is subject of study since a decade in oral squamous cell carcinoma cases. This flap is proving to have more benefits over other free flap reconstructive options. Our study presents an evaluation of functional and esthetic outcomes in a large number of OSCC patients reconstructed with MSAP flaps.

Material and Methods

Total number of 120 patients from 2020 to 2022 with OSCCs underwent reconstruction using MSAPs. The carcinoma involved buccal mucosa, tongue, floor of mouth. Pre- and intra-operative parameters were evaluated along with complications. Functional evaluation in terms of speech and diet was carried out. Patient’s visual analog scores (VAS) were recorded for esthetic evaluation.

Results

Only 10 cases showed failure due to venous and arterial congestion. Normal speech with unrestricted diet intake was achieved in majority of the patients. Primary closure was performed at the donor site in 98.3% of patients, which showed good esthetic results.

Conclusion

MSAP flap is a versatile reconstructive method for small to medium defects in oral and maxillofacial region. The flap is less bulky, has a longer vascular pedicle, is pliable and has minimum donor site morbidity.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Goenka Research Institute of Dental Science, Gandhinagar, Gujarat, India

    Adarsh Desai, Shakti Deora, Aditi Singh & Hastee Bhanushali

Authors
  1. Adarsh Desai
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  2. Shakti Deora
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  3. Aditi Singh
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  4. Hastee Bhanushali
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Corresponding author

Correspondence to Hastee Bhanushali.

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Conflict of interest

All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest or non-financial interest in the subject matter or materials discussed in this manuscript.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The study was approved by the Bioethics Committee of the Goenka Research Institute of Dental Science under Gujarat University.

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Informed consent was obtained from all individual participants included in the study. Patients signed informed consent regarding publishing their data and photographs.

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Desai, A., Deora, S., Singh, A. et al. Evaluation of Functional and Esthetic Outcomes in Oral Cancer Patients Reconstructed with Medial Sural Artery Perforator Free Flap. J. Maxillofac. Oral Surg. (2023). https://doi.org/10.1007/s12663-023-01985-6

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  • DOI: https://doi.org/10.1007/s12663-023-01985-6

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