What is the role of free flaps in reconstructive surgery for angiosarcoma of the scalp?

Updated: Jan 03, 2020
  • Author: Jonathan S Zager, MD, FACS; Chief Editor: Gregory Gary Caputy, MD, PhD, FICS  more...
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Answer

Answer

Reserve free-tissue transfer for patients with angiosarcoma who have high-quality donor vessels for the free-tissue transfer. This problem is usually the limiting step for this operation and is often related to patient age. In the authors' institutions, the rectus muscle flap is the prime free-tissue transfer muscle. This may change with the advent of laparoscopic harvesting of the omentum. The rectus muscle is durable, and the patient's body position is such that the flap can be harvested while the ablative cancer procedure is being performed. Free-tissue transfer is the most complex reconstructive procedure and is the least used technique in elderly patients.


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