FPRS regional flaps

Question 1

Why might regional control of oral cavity malignancies be of concern when using the submental island flap?

Answer 1

The flap incorporates a portion of the level I nodal basin,

which can be involved with metastases

Question 2

When raising the facial artery musculomucosal
flap, the facial artery lies immediately superficial to
what muscle, a portion of which is incorporated
into the flap?

Answer 2

Buccinator muscle

Question 3

What is the primary arterial supply to the

temporalis flap?

Answer 3

Anterior and posterior deep temporal arteries, branches of

the internal maxillary artery

Question 4

The temporalis is commonly used in facial reanimation of the mouth in patients with facial paralysis. What are the two contrasting ways the
temporalis can be used for facial reanimation?

Answer 4

Temporalis myofascial flap and orthodromic temporalis

tendon transfer

Question 5

What is the blood supply to the masseter when

used as a pedicled flap in facial reanimation?

Answer 5

Masseteric artery, which is a branch of the internal maxillary
artery

Question 6

What arteries supply the sternocleidomastoid

muscle?

Answer 6

Occipital artery (superior third), superior thyroid artery (middle third), suprascapular artery (inferior third)

Question 7

What is the blood supply to the superior trapezius myocutaneous flap?

Answer 7

Paraspinous perforating branches of the intercostal vessels

Question 8

Which type of trapezius pedicled flap can be successfully harvested after radical neck dissection?

Answer 8

Superior trapezius myocutaneus flap

Question 9

What is the blood supply to the deltopectoral flap?

Answer 9

Perforator arteries from the internal mammary artery

Question 10

The pectoralis major regional flap is based on what artery?

Answer 10

Pectoral branch of the thoracoacromial artery

Question 11

What nerves must be transected to allow for atrophy of the pectoralis major regional flap?

Answer 11

Medial and lateral pectoral nerves