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Medial sural artery perforator flap.

Xue-Tao Xie1, Yi-Min Chai

  • 1Shanghai Sixth People's Hospital, Shanghai Jiaotong University, People's Republic of China. xixieying@gmail.com

Annals of Plastic Surgery
|April 7, 2011
PubMed
Summary

The medial sural artery perforator flap (MSAP) is a versatile reconstructive option for various body sites. This review details its anatomy, planning, harvest, and clinical applications, highlighting its advantages for skin resurfacing and functional reconstruction.

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Microsurgery

Background:

  • The medial sural artery perforator flap (MSAP) has gained popularity in reconstructive surgery.
  • Its versatility allows for harvesting multiple tissue components from a single incision.
  • It can be employed in pedicled, free, or chimeric designs, and sequentially.

Purpose of the Study:

  • To review the anatomy, preoperative planning, and flap design of the MSAP.
  • To summarize the harvest technique and clinical applications of the MSAP.
  • To discuss the advantages and disadvantages of using the MSAP in reconstruction.

Main Methods:

  • Literature review of studies on the medial sural artery perforator flap.
  • Analysis of anatomical variations, surgical techniques, and clinical outcomes.

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  • Synthesis of information regarding flap design and application.

    • Main Results:

    • The MSAP is a reliable flap for reconstruction in head and neck, and extremities.
    • Anatomic anomalies are rare, but meticulous preoperative planning is crucial.
    • The flap offers excellent outcomes for skin resurfacing and functional restoration.

    Conclusions:

    • The medial sural artery perforator flap is a valuable and versatile tool in reconstructive surgery.
    • Successful MSAP harvest relies on thorough preoperative assessment and precise surgical technique.
    • It provides an excellent alternative for complex reconstructions across multiple anatomical sites.