Spectrum of Medial Sural Artery Perforator Free Flap for Head and Neck and Lower Extremity Reconstruction - Review of 15 Cases

The present study is to reveal institutional experience of spectrum of usage of MSAP free flap in post oncological resection. Material and methods: 15 cases (one lower extremity, rest head and neck) of post oncological resection were reconstructed with free MSAP flaps. The decision to proceed surgically was based on defect size, requirements, presence of sizeable perforator and clinical expertise. Results: All flaps survived with no major post operative complications. out of 15 cases, three cases require donor site closure with split skin graft while rest of them were primarily closed. Conclusion: Free MSAP flap can be used to reconstruct small to medium size defects of tongue, buccal mucosa, maxilla etc. The exclusion of downside of thickness of Anterolateral thigh flap and donor site morbidity in Radial forearm flap makes this flap much more advantageous for usage in defects mentioned.