Classic reprint| Volume 46, ISSUE 2, P151-155, January 1993

Download started.


The supramalleolar flap based on septocutaneous perforators from the peroneal vessels for intraoral soft tissue replacement

      This paper is only available as a PDF. To read, Please Download here.


      In cadavers the septocutaneous perforating vessels branching off the distal segment of the peroneal artery were studied. An area of skin approximately 7 × 12 cm above the ankle was noted to be perfused by these and intraoral defects in 8 patients have been repaired using the supramalleolar flap as a variation of the peroneal flap developed by Yoshimura. Owing to its thinness and the long and wide vascular pedicle, the flap is particularly suitable for reconstructing mobile parts of the oral cavity, and in selected cases may be considered as an alternative to a radial flap.


        • Yoshimura M
        • Imura S
        • Shimamura K
        • Yamauchi S
        • Nomura S
        Peroneal flap for reconstruction in the extremity: preliminary report.
        Plast Reconstr Surg. 1984; 74: 402-409
        • Wei F.-C.
        • Chen H.-C.
        • Chuang C.-C.
        • Noordhoff S
        Fibular osteoseptocutaneous flap: anatomic study and clinical application.
        Plast Reconstr Surg. 1986; 78: 191-199
        • Nakashima H
        • Araki Y
        • Nishikido A.Y.
        • Matzuda T
        • Itoh Y
        Free peroneal flap for wide skin defects of the foot and volar scar contracture of the hand.
        J Reconstr Microsurg. 1987; 3: 105-111
        • Koshima I
        • Higaki H
        • Soeda S
        Combined vascularized fibula and peroneal composite-flap transfer for severe heat-press injury of the forearm.
        Plast Reconstr Surg. 1991; 88: 338-341
        • Chen Z.-W.
        • Yan W
        The study and clinical application of the osteocutaneous flap of the fibula.
        Microsurgery. 1983; 4: 11-16
        • Gilbert A
        Surgical technique: vascularized transfer of the fibular shaft.
        Int J Microsurg. 1979; 1–2: 100-102
        • Taylor G.I.
        Fibular transplantation.
        in: Serafin D Bunke H.J. Microsurgical Composite Tissue Transplantation. Mosby, St. Louis1979: 418-423
        • Weiland A.J.
        • Kleinert H.E.
        • Kutz J.E.
        • Daniel R.K.
        Free vascularized bone grafts in surgery of the upper extremity.
        J Hand Surg. 1979; 4: 129-144