ABSTRACT
A. Musculocutaneous flap reconstruction is one of the most important reconstructive procedures available.
B. Advantages of reconstructing a defect with en bloc muscle and skin flap are numerous. Studies have demonstrated that the muscle portion of the flap provides reliable well-vascularized tissue, enhancing oxygen delivery to the healing reconstructed bed. Additional studies have shown enhanced resistance to infection compared to fascial and skin flaps. Additionally, muscle flaps have been used effectively to treat osteomyelitis. Muscle bulk provides stable obliteration of large dead spaces and can be designed for aesthetic contour.
