[Medial sural artery perforator fasciocutaneous flap for the reconstruction of tongue and mouth base].

Background: Despite the well-known high donor site morbidity of the radial forarm flap, it has still remained the first option for the reconstruction of the tongue and the floor of mouth. However, a desire for an alternative, thin fasciocutaneous flap has led to the use of the median sural artery perforator flap.
Methods: Three patients had reconstructive surgery used MSAP flaps, after radical tumor excision.
Results: The flap was based in all cases on a dominant perforator vessel. The size of the skin paddles ranged between 20-32 cm2, and the length of the vascular pedicle between 8.2-11 cm. The mean thickness of the flap was 6.5 mm.
Conclusion: MSAP flap is an ideal solution for surgical reconstruction in the oral cavity.