| Flaps | Advantages | Disadvantages |
|---|---|---|
| 1. Pectoralis Major - Pectoral branch of the acrominothoracic artery arising from the first part of the axillary artery. - External segment (50%) may be supplied by lateral thoracic vessels of 2nd part of axillary artery. - Sternocostal segment - Perforating branch of internal mammary. | 1. Large 2. Rich Vascular supply 3. Large arc of rotation ~zygomahc arch 4. Versatile : Skin only / muscle paddle with skin / muscle 5. Harvested in supine posterior 6. Donor site Primary closure. | 1. Large and Bulky 2. Relatively Immobile 3. Violates female breast. |
| Latissimus Dorsi Flab - 1st myocutaneous flab. -Thoracodorsal vessels -> Subscapular -> Acteytol D - Venae Commitantes -> axillary vein -thoracodorsal nerve ( Posterior cord of brachial plesous) | 1. Large Amount (10x8 cm) 2. Pedicled/ Free Tissue Transfer 3. Cosmetic advantage in female 4. Versatile tubed 5.when pedicled it can reach upto upper face and scalp. | 1. Very Bulky 2. Donor site dehiscense ocassionally 3. Reduction in upper limb power. 4.May require moving the patient to harvest. |
| Sternomastoid Flap -2 branches of occipital artery (Upper Half ) - Superior thyroid artery branch in lower half. - Rarely used. | 1. Can be used as componk skin = muscle flab / muscle = bone flab 2. Split along its length and rotate anterior to cover vessels in compromised vein | 1. Poorly vascularized and not reliable 2. Areas of oncological significance 3. Superior reconstructure ophon available. |
| Ivapezius Flap - Vascular supply complex and varies with design Occopital artery and venae comitantes | 1. Used for defect of the temporal bone, Lateral face or upper neck 2. Lifeboat / Salvage when other flap fails. | |
| Platysma Flap Upper Part -> Submental branch of facial artery Lower Part -> Transverse cervical artery branch | 1. Unreliable blood supply 2. Avoid as source of reconstruction of oral cavity 3. May remove blood supply of overlying skin. 4. Area of oncological significance. |
Protection