Abstract
A peroneal flap, developed by Yoshimura et al, has been used mainly for the repair of lower leg injuries. We applied this flap to the reconstruction of the posterior pharyngeal wall of a 49-year-old female with pharyngeal cancer, resected through a transmandibular approach.
A free vascularized peroneal flap has pedicles consisting of peroneal artery and vein and their cutaneous branches. Under a microscope, the facial artery and external cervical vein were anastomosed to the peroneal artery and vein respectively. The peroneal flap has the following advantages : 1) It is thin enough to fit the posterior pharyngeal wall. 2) Primary closure of donor site is possible. 3) The donor site is less conspicuous than that of forearm flap.
