A new free flap for the head and neck
Reviewed by Adam Shakir

Whilst the radial forearm free flap (RFFF) is well known and tested, this group of surgeons from Sunderland, UK, discuss their experience with a comparable flap. They advocate the medial sural artery perforator flap (MSAPF), with a long pedicle if required and donor site primary closure as advantages over the RFFF. It also has the lack of bulk that is sometimes desired in a reconstruction. They speculate that its lack of popularity may be to do with concerns over poor perforating vessels, which was not the case in their n=6 series. Perhaps we will be hearing more of this free flap in oncology multidisciplinary teams (MDTs) up and down the country in the near future.

Early experience with the medial sural artery perforator flap as an alternative to the radial forearm flap for reconstruction in the head and neck.
Nugent M, Endersby S, Kennedy M, Burns A.
BRITISH JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY
2015;53:461-3.