Donor Site Morbidity of the Medial Sural Artery Perforator (MSAP) Free Flap for Head & Neck Reconstruction

被引：1

作者：

Dattilo, Lillian W. ^{[1
]}

de Groot, Emilie C. M. ^{[1
]}

Nyirjesy, Sarah ^{[1
]}

Karadaghy, Omar A. ^{[1
,2
]}

Noyes, Elizabeth ^{[1
]}

Spector, Matthew E. ^{[3
]}

Richmon, Jeremy D. ^{[1
]}

Lin, Derrick T. ^{[1
]}

Varvares, Mark A. ^{[1
]}

Feng, Allen L. ^{[1
]}

机构：

[1] Harvard Med Sch, Dept Otolaryngol Head & Neck Surg, Massachusetts Eye & Ear, Boston, MA 02115 USA

[2] Univ Kansas, Dept Otolaryngol, Kansas City, KS USA

[3] Univ Pittsburgh, Dept Otolaryngol, Pittsburgh, PA USA

来源：

HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK | 2025年

关键词：

donor site morbidity; free tissue transfer; head and neck reconstruction; medial sural artery perforator free flap; patient reported outcome metrics; ANTEROLATERAL THIGH FLAP;

D O I：

10.1002/hed.28187

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Background: Minimal donor site morbidity is often cited as one of the main advantages of the medial sural artery perforator (MSAP) free flap; however, few studies have examined functional outcomes. Methods: This retrospective cohort study analyzed patients undergoing MSAP for head and neck reconstruction from 2022 to 2024. A modified lower extremity functional scale (LEFS), with 80 being a maximum score, was administered to assess functional morbidity. Results: Twenty two patients underwent successful MSAP flap. At < 1 month after surgery, the average LEFS was 56.0 (95% CI, 43.8-68.2). At 1-3 months, the average score was 63.0 (95% CI, 56.0-70.0); at 3-6 months, it was 75.0 (95% CI, 70.0-80.0), and at 6-12 months, it was 78.1 (95% CI, 75.4-80.0). Beyond 12 months, the average score was 79.8 (95% CI, 79.8-80.0). Conclusions and Relevance: The MSAP free flap is an excellent free tissue option for head & neck reconstruction with minimal donor site morbidity.

引用

页数：6

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