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Tounge Reconstruction with Medial Sural Artery Perforator Flap: A Case Report

Gunjan Agrawal, Ashutosh Gupta and Vivek Chaudhary

There are numerous perforator flaps reported in the literature for head and neck reconstruction. We are presenting a case report of squamous cell carcinoma of Tongue which was operated by hemi glossectomy, modified radical neck dissection and reconstruction was done with medial sural artery perforator flap (MSAP). Preoperatively handheld Doppler was used to identify the perforator. The size of the flap was 5 × 6 cm, with 6 mm thick. The Medial Sural Artery Perforator Flap for tongue reconstruction is selected in our case as it is thin, pliable skin, reliable and sufficient vascular pedicle length.