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…
Considerations of Free Flaps
Type A A pedicled flap based on several vessels entering the base of the flap and following the long axis of the flap Type B A pedicled or a free…
Gracilis Flap
Fig. 7.1 Preoperative setting and flap design 7.3.1.1 Step 1 The entrance of the pedicle on the deep surface of the gracilis muscle is then marked 10 cm below the…
Medial Femoral Condyle Flap
Fig. 12.1 A point between the medial aspect of the patella and the prominence of the medial femoral condyle marks the distal aspect of the incision 12.4.2.2 Step 1 Incision…
Fascial Flap
Fig. 4.1 Anatomical layers of temporal region. (1) Skin; (2) subcutaneous tissue; (3) temporoparietal fascia (superficial temporal vessel); (4) lose areolar tissue; (5) temporalis muscle fascia (middle temporal artery); (6)…
Flaps in Head and Neck Reconstruction
Fig. 1.1 One of the first examples of reconstruction technique described by Tagliacozzi Fig. 1.2 Gaspare Tagliacozzi He focused his work on a so-called cutaneous flap, harvested from the arm….