This mucoperichondrial tissue becomes a hinge at the base of the composite flap
that allows the flap to rotate into the perforation.
(13) Creative use of this material has resulted in unexpected success with distal limb salvage allowing this technique to take its place along with adjacent tissue transfer, composite flaps
and vascular pedicle flaps.
This edition reflects current understanding of the anatomy and physiology of flaps, highlighting the use of perforator flaps used in all areas of the body, as well as new neurotized and composite flaps
. This fourth edition adds 32 new chapters; chapters on less-used techniques have been moved online.
Costantino et al., "Oromandibular reconstruction using microvascular composite flaps
: report of 210 cases," Archives of Otolaryngology: Head and Neck Surgery, vol.
Both of the G-III's conventional aluminum wing flaps are being replaced with shape-changing composite flaps
designed by FlexSys, Inc., that form continuous bendable surfaces.