Reverse neurofasciocutaneous flaps for soft-tissue coverage of the lower leg

The evolution of neurocutaneous flaps has created a new concept in reconstr uctive surgery. These flaps, based on the arterial network around the super ficial sensory nerves, are gaining popularity in soft-tissue coverage, Vari ous flaps can be planned based on the neurocutaneous perforators. These kin ds of flaps are available for extremity reconstruction. In the lower leg, r everse neurocutaneous flaps have been used successfully. Although these fla ps in the lower leg are called neurocutaneous, they have been elevated with the underlying fascia like fasciocutaneous flaps, and thus the authors cal l these flaps neurofasciocutaneous flaps. They have used 11 reverse neurofa sciocutaneous flaps (6 saphenous and 5 sural) since 1995. All flaps survive d completely, and stable coverage of soft-tissue defects of the lower leg w as achieved in all patients.