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Double-paddle peroneal tissue transfer for oromandibular reconstruction
K C Yang1, J K Leung, J S Chen
1Reconstructive Plastic Surgery Service and Oral and Maxillofacial Surgery Service, Veteran General Hospital, Kaohsiung, Taiwan. kcyang@isca.vghks.gov.tw
Plastic and Reconstructive Surgery
|July 7, 2000
Summary
The double-paddle peroneal tissue transfer effectively reconstructs oral cancer defects, simplifying procedures and avoiding secondary flaps. This technique offers reliable outcomes for both intraoral and extraoral reconstructions.
Area of Science:
- Plastic Surgery
- Oral Oncology
- Microsurgery
Background:
- Extensive defects following oral cancer ablative surgery pose reconstruction challenges.
- Conventional methods may require multiple surgical stages or secondary flaps.
- The double-paddle peroneal tissue transfer offers a versatile solution.
Purpose of the Study:
- To evaluate the efficacy and outcomes of the double-paddle peroneal tissue transfer for oral cancer defect reconstruction.
- To assess the feasibility of using dual skin paddles based on peroneal perforators.
- To report the authors' experience with this technique in a series of patients.
Main Methods:
- Retrospective review of 15 patients undergoing double-paddle peroneal tissue transfer for oral cancer defects.
- Flaps included 10 fasciocutaneous and five osteocutaneous variations.
- Reconstruction addressed both intraoral and extraoral components.
Main Results:
- All 15 flaps were utilized for combined intraoral and extraoral defect reconstruction.
- One skin paddle experienced necrosis due to post-operative manipulation; all others survived.
- Flap survival was complete in 14 patients, with good to excellent aesthetic results.
- No significant gait disturbances were reported post-operatively.
Conclusions:
- The double-paddle peroneal tissue transfer is a reliable and effective method for complex oral cancer defect reconstruction.
- This technique simplifies the surgical process and minimizes the need for additional free flaps.
- Satisfactory functional and aesthetic outcomes can be achieved with minimal donor site morbidity.