Oral cavity and oropharyngeal area are common sites for head and neck cancer associated with functional and comotic defect. surgical treatment for cancer of the oral cavity can result in dramatic aesthetic and functional sequelae partially avoidable by reconstructive techniques. the aim of our case series is to determine the outcome of reconstruction of oral cavity and oropharyngeal using posterior tibial artery perforator flaps ( PTAPF ).
METHOD: A retrospective study from feb 2014 – july 2015 we did 4 cases of oral cavity cancer and one case of oropharyngeal cancer tumor resected and reconstructed by (PTAPF) done in single institute king fahd specialist hospital in department of otolaryngology – head and neck.
RESULT: Three cases of tongue cancer reconstructed by PTAPF one change intraopertively to radial forearm.one case of hard palate cancer reconstructed by PTAPF and one case of oropharyngeal mucoepidermoid mucoepidermoid cancer reconstructed by PTAPF. patints follow up in clinic with no recurrence or flap complication functional and cosmetic.
CONCLUSION: Posterior tibial artery perforator flaps is an alternative choice in reconstruction of oral cavity and oropharyngeal cancer with advantage of of thin, easily harvested, little anatomical variation and concealed donor site. also it can be used in case of contraindication for radial forearm free flap. limitations of PTAPF are peripheral arterial disease or venous disease.