title: Freestyle perforator flaps: an innovative approach to soft tissue reconstruction.
abstract: Resurfacing of soft tissue defects consequent to skin cancer, melanoma, or sarcoma excision in different anatomical districts represents a difficult challenge for the plastic surgeon. Classic reconstructive procedures are frequently charged by unsatisfactory results. The introduction of perforator flaps in the clinical practice represented a revolution in the field of reconstructive plastic surgery. The technique further evolved with the introduction of the freestyle concept, allowing one to harvest a skin flap from any region of the body where an appropriate and detectable Doppler signal is present and to resurface soft tissue defects mobilizing the surrounding tissues, which present similar features compared with the recipient site in terms of color and texture, on a consistent vascular source and in a tension-free manner. The authors present their personal approach to the reconstruction of soft tissue defects after excision for a basal cell carcinoma involving the medial tibial region.
authors: Plastic and Reconstructive Surgery Unit, Campus Bio-Medico of Rome University, Rome, Italy.
authors: Beniamino
authors: B
authors: Brunetti
authors: Plastic and Reconstructive Surgery Unit, Campus Bio-Medico of Rome University, Rome, Italy.
authors: Stefano
authors: S
authors: Campa
authors: Plastic and Reconstructive Surgery Unit, Campus Bio-Medico of Rome University, Rome, Italy.
authors: Stefania
authors: S
authors: Tenna
authors: Plastic and Reconstructive Surgery Unit, Campus Bio-Medico of Rome University, Rome, Italy.
authors: Tiziano
authors: T
authors: Pallara
authors: Plastic and Reconstructive Surgery Unit, Campus Bio-Medico of Rome University, Rome, Italy.
authors: Paolo
authors: P
authors: Persichetti
mesh_terms: D002280:Basal Cell Carcinoma / Q000601:surgery*; D062109:Dermatologic Surgical Procedures / Q000379:methods*; D006801:Humans; D007866:Leg; D008297:Male; D008875:Middle Aged; D061525:Perforator Flap / Q000098:blood supply; D012878:Skin Neoplasms / Q000601:surgery*; D018608:Ultrasonography, Doppler
keywords: posterior tibial artery perforator flap; soft tissue reconstruction