Flap in Head and Neck Reconstructions
Fig. 9.1 (a, b) The perforator’s course is evaluated with a CTA exam. The “best” perforator should have a short intramuscular portion to facilitate the dissection during surgery With the…
Crest Free Flap
Fig. 11.1 Flap design 11.4.2 Surgical Steps 11.4.2.1 Step 1 The cutaneous and subcutaneous layers are incised along the designated line using a blade or electric scalpel, for 20 cm, of…
Abdominis Free Flap
Fig. 6.1 Doppler identification of the vascular pedicle 6.3.2 Patient Positioning Flap harvesting is performed with the patient in the supine position. The abdomen is exposed from the xiphoid to…
Thigh Flap
Fig. 8.1 Anatomy of perforator vessels in ALT flap 8.1.2 Artery The deep femoral artery is a branch of the femoral artery that travels down the thigh closed to the…
Forearm Flap
Fig. 5.1 Vascular and nervous anatomy of the flap 5.2 Analytical Factors and Technical Considerations 5.2.1 Venous Drainage: Superficial and Deep Vein System Since the initial description of RFFF by…
Techniques
Fig. 3.1 Surgeons working position at microscope For both surgeon and assistant, the ideal position for a micro-anastomosis is on the surface, not in a deep hole or under a…