{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T08:46:44Z","timestamp":1769503604618,"version":"3.49.0"},"reference-count":45,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Reconstr Microsurg"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003For tongue reconstruction, the radial forearm flap (RFF) is commonly used. In the last decade, the medial sural artery perforator (MSAP) flap has been successfully used with reportedly superior donor-site outcomes. Our study is the first to compare the RFF and MSAP for reconstruction of partial glossectomy defects (&lt;50% of tongue).<\/jats:p><jats:p>\n          Methods\u2003We conducted a retrospective review of 20 patients with partial glossectomy defects reconstructed at a tertiary referral center. Patient demographics, perioperative data, and postoperative complications were analyzed. Objective measures of speech, swallowing, and subjective patient satisfaction with their donor site were recorded.<\/jats:p><jats:p>\n          Results\u2003Ten RFF and MSAP were each used, with a mean partial glossectomy defect size of 40.5 and 43.5%, respectively. The MSAP was significantly thicker (7.8 vs. 4.3\u2009mm, p\u2009&lt;\u20090.05) with a longer harvest time (122.5 vs. 75.0\u2009minutes, p\u2009&lt;\u20090.05). There were no cases of free flap failure. Donor-site healing times were comparable, but the MSAP group experienced significantly less donor-site complications (n\u2009=\u20091 vs. n\u2009=\u20097, p\u2009&lt;\u20090.05). Functional outcomes were comparable with 13 patients achieving normal speech and diet after 3 months (MSAP\u2009=\u20096 vs. RFF\u2009=\u20097, p\u2009=\u20091.00). All patients were satisfied with their donor-site outcome with the MSAP group having a marginally higher score.<\/jats:p><jats:p>\n          Conclusion\u2003Both flaps are good options for partial glossectomy reconstruction. Though more challenging to harvest, the MSAP gives comparable functional results and has become our first reconstructive option given its superior donor-site outcomes.<\/jats:p>","DOI":"10.1055\/s-0040-1718551","type":"journal-article","created":{"date-parts":[[2020,10,8]],"date-time":"2020-10-08T23:01:20Z","timestamp":1602198080000},"page":"445-452","source":"Crossref","is-referenced-by-count":17,"title":["A Head-to-Head Comparison of the Medial Sural Artery Perforator versus Radial Forearm Flap for Tongue Reconstruction"],"prefix":"10.1055","volume":"37","author":[{"given":"Marcus J.M.","family":"Ng","sequence":"additional","affiliation":[{"name":"Yong Loo Lin School of Medicine, National University of Singapore, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6315-9455","authenticated-orcid":false,"given":"Cindy S.L.","family":"Goh","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ngian Chye","family":"Tan","sequence":"additional","affiliation":[{"name":"SingHealth Duke-NUS Head and Neck Center, SingHealth, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David H.","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, MedStar Georgetown University Hospital, Washington, DC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7983-3635","authenticated-orcid":false,"given":"Adrian S.H.","family":"Ooi","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Aesthetic Surgery, Singapore General Hospital, Singapore"},{"name":"SingHealth Duke-NUS Head and Neck Center, SingHealth, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,10,8]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1097\/MOO.0b013e3281fbd406","article-title":"Tongue reconstruction: recent advances","volume":"15","author":"W A Bokhari","year":"2007","journal-title":"Curr Opin Otolaryngol Head Neck Surg"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1002\/hed.20712","article-title":"Medial sural artery perforator flap for tongue and floor of mouth reconstruction","volume":"30","author":"S L Chen","year":"2008","journal-title":"Head Neck"},{"issue":"11","key":"ref3","doi-asserted-by":"crossref","first-page":"2351","DOI":"10.1016\/j.joms.2014.05.019","article-title":"A prospective study of medial sural artery perforator flap with computed tomographic angiography-aided design in tongue reconstruction","volume":"72","author":"Y He","year":"2014","journal-title":"J Oral Maxillofac Surg"},{"issue":"02","key":"ref4","doi-asserted-by":"crossref","first-page":"e0171570","DOI":"10.1371\/journal.pone.0171570","article-title":"Assessing the suitability of medial sural artery perforator flaps in tongue reconstruction - an outcome study","volume":"12","author":"S Y Hung","year":"2017","journal-title":"PLoS One"},{"issue":"08","key":"ref5","doi-asserted-by":"crossref","first-page":"1106","DOI":"10.1002\/hed.21868","article-title":"Indications for pedicled pectoralis major flap in a free tissue transfer practice","volume":"34","author":"D S Schneider","year":"2012","journal-title":"Head Neck"},{"issue":"S 02","key":"ref6","first-page":"S44","article-title":"Radial forearm flap in reconstruction following surgery for head and neck cancers","volume":"12","author":"K Harii","year":"1985","journal-title":"Auris Nasus Larynx"},{"issue":"09","key":"ref7","doi-asserted-by":"crossref","first-page":"959","DOI":"10.1001\/archotol.1995.01890090005001","article-title":"Free forearm flap in oral reconstruction. 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