THE SUBCUTANEOUS PEDICLE TENSOR FASCIA LATA FLAP

The presence of a consistent subcutaneous vascular plexus allows carry ing of a distal skin island safely on the iliotibial tract. A distal s kin island can be designed on the lateral thigh and can be raised on a subcutaneous pedicle that is proximally supplied by the lateral femor al circumflex artery. This technique preserves the lateral thigh skin and employs subcutaneous tunneling to overcome the traditional drawbac ks of the conventional extended tensor fascia lata flap. The subcutane ous pedicle tensor fascia lata nap's sensate potential, thin skin, dur able fascia, extensive reach, and 360 degree are of rotation make it a n appealing donor site for coverage of lower midsection and pelvic def ects or for penile reconstruction.