Table 1.
Demographics of patients.
Table 2.
Flap details.
Table 3.
Outcomes and complications.
Table 4.
Assessment of donor site scar.
Fig 1.
(a) Preoperative marking of the MSAP flap with the inferior border of media gastrocnemius muscle and ultrasound Doppler marking of the perforator. (b) Intraoperative MSAP flap harvest with one perforator and its pedicle. (c) Intraoperative MSAP flap demonstrating a two perforator harvest. (d) Intraoperative photograph demonstrating the extent of MSAP flap size harvested. (e) Primary closure of the donor site. (f) Photograph demonstrating skin graft closure of the donor site.
Fig 2.
(a) Intraoperative photograph demonstrating a subtotal hemiglossectomy defect. (b) Intraoperative harvest of a large MSAP flap from an overweight patient. The MSAP flap was of a suitable size for reconstruction of a subtotal glossectomy defect. (c) Photograph demonstrating the inset of the MSAP flap with good contouring and restoration of tongue form.
Fig 3.
Postoperative photograph of a hemiglossectomy defect reconstructed with a MSAP flap.