Peroneal flap: How to harvest and clinical appraisal for head and neck reconstruction

Lin, Yu Ting; Liu, Wen‐Chung; Yang, Kuo‐Chung

doi:10.1016/j.bjps.2020.11.039

Cited by 4 publications

(13 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our institution, peroneal flap has nearly completely replaced RF flap. The peroneal flap is superior to the RF flap because it has more distinct and stronger perforators, a larger donor skin area, a hidden donor site scar, and is similarly thin and pliable 1,22 . We published an article in 2013 introducing the use of peroneal flaps in the reconstruction of hypopharyngeal cancer.…”

Section: Discussionmentioning

confidence: 99%

“…The peroneal flap is a useful flap. Its advantages include thin and pliable nature, constant and reliable perforators, a relatively short harvest time, a hidden donor site, and ease of carrying muscle and bone to make a chimeric flap 1 . Peroneal flaps are commonly used in head and neck reconstruction at our hospital.…”

Section: Introductionmentioning

confidence: 99%

“…Peroneal flaps are commonly used in head and neck reconstruction at our hospital. The technique of harvest the peroneal flap and the management of the donor site were well described by Lin et al 1 Our institution published two articles about the use of peroneal flaps in total laryngectomy reconstruction. We claimed that the peroneal flap had a low rate of pharyngocutaneous fistula formation and pharyngeal structure and that the surgical outcome was comparable to other existing commonly used flaps 2,3 .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Comparison of the outcomes of anterolateral thigh flap and peroneal flap in total laryngectomy reconstruction

Hsieh

Chen

Lin

et al. 2023

Laryngoscope Investig Oto

View full text Add to dashboard Cite

Background We usually use an ALT or peroneal flap in total laryngectomy reconstruction, depending on the surgeons' preference. No direct comparison of the outcomes of the ALT flap and peroneal flap exists. Methods From 2014 to 2022, we reviewed patients who had total laryngectomy and were reconstructed with an ALT flap and peroneal flap. Patient characteristics and surgical outcomes were collected and compared. Results The peroneal group had a significantly higher risk of neopharynx leakage (40% vs. 13.2%, p = .020) and late pharyngocutaneous fistula formation (30% vs. 5.3%, p = .009) than the ALT group. Peroneal flap was found to be the only independent risk factor for neopharynx leakage (p = .025, odds ratio [OR] = 5.5) and late pharyngocutaneous fistula formation (p = .02, OR = 7.7) in multivariate logistic regression. Conclusion In the reconstruction of total laryngectomy, the ALT flap is preferable over the peroneal flap.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of the outcomes of anterolateral thigh flap and peroneal flap in total laryngectomy reconstruction

Hsieh

Chen

Lin

et al. 2023

Laryngoscope Investig Oto

View full text Add to dashboard Cite

show abstract

“…The donor site was primarily closed or covered with a split-thickness skin graft, depending on the wound size. 6 Donor-site evaluation Donor-site surveys after free peroneal flap transfer were completed using questionnaires modified from those of Enneking et al and Bodde et al 12,13 The questionnaires were modified for telephone interviews in five categories: pain/sensory disturbance, wound condition, movement, claw toe, and limitations in activities of daily living (Table 1). 12,13 Furthermore, we reviewed the patients' medical charts to evaluate wound healing problems or reoperation owing to donor-site comorbidity.…”

Section: Surgical Techniquementioning

confidence: 99%

“…1 At our institute, peroneal flaps (fasciocutaneous or myofasciocutaneous flap) have been standard for reconstructing soft tissue defects after ablative surgery, such as tongue and esophageal defects that require thin and pliable flaps, or through-and-through defects involving the mouth angle and lips that require complex designs and reliable multiple perforators. [2][3][4][5][6] In other institutes, the radial forearm free flap (RFFF) and medial sural artery perforator (MSAP) flap have been alternatives for defects that require a thinner and more pliable flap. However, we prefer the peroneal flap for several reasons.…”

Section: Introductionmentioning

confidence: 99%

Long-term patient-reported donor-site morbidity after free peroneal fasciocutaneous flap in head and neck reconstruction

et al. 2023

Self Cite

View full text Add to dashboard Cite

Objective Fasciocutaneous free flap based on the peroneal artery (boneless version) is an option in our practice for head and neck reconstruction. However, the associated donor-site morbidity has rarely been discussed. Thus, this study investigated the long-term patient-reported donor-site morbidity associated with peroneal flaps. Methods In this single-center, retrospective, observational study, 39 patients who underwent a free peroneal flap were enrolled. We evaluated donor-site morbidity with a modified questionnaire from Enneking et al. and Bodde et al. Results Patient-reported daily life limitation was relatively low (5/39; 12.9%). Donor-site morbidities, namely pain (4/39; 10.3%), sensory disturbance (9/39; 23.1%), and walking limitation (9/39; 23.1%) were reported; most were rated minimal in severity. Among patients with walking limitation, muscle weakness (3/39; 7.7%), ankle instability (6/39; 15.4%), and gait alternation (6/39; 15.4%) were reported. Six patients developed claw toe. Conclusion Balancing successful reconstruction and donor-site morbidity is challenging. This long-term patient-reported survey revealed that harvesting peroneal flaps resulted in minimal or minor donor-site morbidity with no obvious impacts on the patients’ daily quality of life. Although free radial forearm flaps and anterolateral thigh flaps are standard, free peroneal flaps have been proven reliable, with acceptable donor-site morbidity.

show abstract

Introduction and preliminary application report for a novel 3D printed perforator navigator for fibular flap surgery

Wei,

Zhu,

et al. 2023

Journal of Cranio-Maxillofacial Surgery

View full text Add to dashboard Cite

Peroneal flap: How to harvest and clinical appraisal for head and neck reconstruction

Cited by 4 publications

References 45 publications

Comparison of the outcomes of anterolateral thigh flap and peroneal flap in total laryngectomy reconstruction

Comparison of the outcomes of anterolateral thigh flap and peroneal flap in total laryngectomy reconstruction

Long-term patient-reported donor-site morbidity after free peroneal fasciocutaneous flap in head and neck reconstruction

Introduction and preliminary application report for a novel 3D printed perforator navigator for fibular flap surgery

Contact Info

Product

Resources

About