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Titlebook: Microvascular Reconstruction; Anatomy, Application Ralph T. Manktelow Book 1986 Springer-Verlag Berlin Heidelberg 1986 Gefässchirurgie.chil

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Rectus Abdominisery and below by the deep inferior epigastric artery (DIEA), supplies the rectus abdominis muscle and a huge area of abdominal skin. Its value for pedicled flaps based on the superior vessel was particularly appreciated by Brown, Mathes and McCraw. Its most common application on the superior vessel
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Iliac Crest, provides branches to the bone, abdominal musculature and skin. This transfer can be taken in three different configurations: bone only, bone and abdominal musculature, and bone, abdominal musculature and skin. Although the iliac crest has been transferred based on the superficial circumflex iliac
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Metatarsal is a very well-vascularized bone graft and can be taken with a thin flexible skin flap. Whereas the fibula is available for long defects and the iliac crest for medium length defects, the metatarsal is suitable for the shorter defect. In short bony defects, non-vascularized bone grafts will often b
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Head and Neck Coverageatch with the remaining skin. Facial skin defects are best replaced with skin flaps which are taken from above the clavicle. However, when a large soft tissue coverage is required, it is necessary to obtain the flap from below this region and a less suitable color match can be expected. The options
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Facial Contour Reconstructione, lateral facial dysplasia, and lipodystrophy, all that is usually required is the addition of appropriately placed soft tissue bulk. The best technique to supply soft tissue is a buried free tissue transfer. De-epithelialized skin flaps have been used for contour reconstruction for many years [3].
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Rectus Abdominis on the rectus musculature the more reliable is its perfusion. Since the DIEA is twice the diameter of the superior epigastric artery and is the dominant blood supply to the rectus abdominis muscle, the DIEA is the preferred pedicle for free tissue transfer [3, 8].
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