Oral Reconstruction Using Medial Sural Artery Perforator Flap in a Patient With Fanconi Anemia

Saçak, Bülent; Tuncer, Fatma Betül; Kocaaslan, Nihal Durmus; Çelebïler, Özhan

doi:10.1097/scs.0000000000002584

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…The first described instance of MVFF for FA was when Alkaabi et al 3 outlined their use of a double-paddle free fibular flap for reconstruction of a composite facial tumor. Since then, the only other report, aside from our own describing the first case in this series, was by Sacak et al, 5 in which a medial sural artery perforator flap was utilized for reconstruction of a total glossectomy defect 4 . There are multiple challenges inherent in these cases.…”

Section: Discussionmentioning

confidence: 88%

Microsurgical Head and Neck Reconstruction in Patients With Fanconi Anemia

Wright

Kutler²,

Reeve

et al. 2021

Journal of Craniofacial Surgery

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Patients with Fanconi anemia (FA) are at increased risk for head and neck cancers that often necessitate extensive reconstructions. Such patients have multiple comorbidities including anemia and thrombocytopenia frequently requiring bone marrow transplant, and they are at an increased risk of cancer recurrence and need for further extirpation. in the present study, charts from 3 patients with FA who underwent microvascular free tissue transfer by the senior author were retrospectively reviewed for pertinent pre- and peri-operative details in addition to functional and cosmetic outcomes. Two of these patients ultimately required metachronous free flap reconstructions for recurrence. All patients had acceptable functional and cosmetic outcomes following each instance of free flap reconstruction, thereby demonstrating the utility of microvas- cular free tissue transfer in patients with FA. The authors herein present each patient's clinical history in addition to a discussion of the current literature and an outline of our approach to these challenging cases.

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Section: Discussionmentioning

confidence: 88%