Posterior tibial artery flap in poliomyelitis patients with lower extremity paralysis

Samir Mardini, Christopher Salgado, Hung Chi Chen, Sukru Yazar, Omer Ozkan, Paolo Sassu

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

BACKGROUND: Poliomyelitis is a disease that can render affected individuals incapacitated to a variable degree. A normal lifespan is expected and therefore the patients deserve every effort at curative cancer resection and reconstruction. Those with lower extremity paralysis rely heavily on their upper limbs and torso for ambulation; therefore, their compromised limbs may be a better donor site for flaps. METHODS: All poliomyelitis patients with lower extremity paralysis over a 20-month period who underwent head and neck reconstruction were selected for a retrospective review. Perioperative complications were noted and outpatient follow-up was performed. RESULTS: Three patients underwent reconstruction of defects using the posterior tibial artery flap. Two patients required reconstruction of a buccal defect and one patient required soft palate reconstruction. All patients healed without complications and none required reexploration. At a mean follow-up of 10 months, there was no incidence of donor limb vascular compromise, cold intolerance, or long-term paresthesias. CONCLUSIONS: The posterior tibial artery free flap has been used successfully in the past; however, its popularity has been limited because of sacrifice of the posterior tibial artery. Nevertheless, in patients with lower extremity paralysis, this flap may fulfill the requirements of a thin, pliable flap with minimal hair that has a long pedicle and a reliable blood supply. Most importantly, the use of this flap obviates the need to use flaps that fulfill the same requirement, such as forearm flaps, that would be taken from patients' functioning limbs.

Original languageEnglish
Pages (from-to)640-645
Number of pages6
JournalPlastic and Reconstructive Surgery
Volume117
Issue number2
DOIs
StatePublished - Feb 1 2006
Externally publishedYes

Fingerprint

Tibial Arteries
Paraplegia
Poliomyelitis
Extremities
Tissue Donors
Soft Palate
Torso
Paresthesia
Free Tissue Flaps
Cheek
Forearm
Upper Extremity
Hair
Walking
Blood Vessels
Outpatients
Neck
Head
Incidence

ASJC Scopus subject areas

  • Surgery

Cite this

Posterior tibial artery flap in poliomyelitis patients with lower extremity paralysis. / Mardini, Samir; Salgado, Christopher; Chen, Hung Chi; Yazar, Sukru; Ozkan, Omer; Sassu, Paolo.

In: Plastic and Reconstructive Surgery, Vol. 117, No. 2, 01.02.2006, p. 640-645.

Research output: Contribution to journalArticle

Mardini, Samir ; Salgado, Christopher ; Chen, Hung Chi ; Yazar, Sukru ; Ozkan, Omer ; Sassu, Paolo. / Posterior tibial artery flap in poliomyelitis patients with lower extremity paralysis. In: Plastic and Reconstructive Surgery. 2006 ; Vol. 117, No. 2. pp. 640-645.
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