Clinical definition of independent myocutaneous vascular territories.

The use of myocutandous flaps can increase the possibilities for construction in many cases by bringing in new blood supply to avascular areas by furnishing additional bulk for filling defects or covering bone grafts or other deep repairs, and sometimes by making longer flaps viable. Also, the need for delay procedures is decreased and sometimes avoided. In this paper we define the vascular territories of 13 clinical myocutaneous flaps, and we describe possible uses of them. Three illustrative clinical cases are presented, in which repairs were done with these flaps. The future uses of these flaps challenge the imagination. Knowledge about them may significantly alter the traditional approaches to flap designs and repairs.