PREFABRICATION OF FREE FLAPS ON A BASE OF FASCIA

A method of performing free fasciocutaneous flaps on a base of vascula rized fascia from the scapula area (dorsal thoracic fascia of scapula) and fascia covering the serratus anterior muscle (lateral thoracic or serratus) is presented. Prefabrication allows customization of flaps, with the ability to choose a satisfactory donor area to have good vas cular pedicle length and to choose skin which is better suited to the recipient region. When using these flaps, it may be necessary to perfo rm a one- or two-stage microvascular anastomosis. The prefabrication m ethod is presented, together with the clinical use of the two differen t flaps.