The combined flap based on a single vascular source: a clinical experience with 32 cases.

This article provides a retrospective review of 32 combined flap transfers. It consists of two or more flaps based on independent vascular branches from a single vascular source. This series included the combined flap based on the subscapular-circumflex scapular-thoracodorsal vascular system in 24 patients and the profunda femorislateral circumflex femoral vascular system in 8 patients. Twenty-four combined flaps were transferred as free flaps and eight as pedicled flaps. The combined flap based on the subscapular system has very good indications for massive and three-dimensional composite defects in the head and neck region. The combined flap based on the lateral circumflex femoral-profunda femoris system is useful for reconstruction of large defects in the groin, perineal, and lower abdominal regions.