Algorithms for perforator-based flaps in different anatomical locations

Introduction: Perforator-based flaps can be planned in any anatomic location the body when there is a detectable perforator. Although preoperative perforator mapping ensures safety and versatility of these flaps, no consensus yet about flap planning different anatomical locations.
 Material Method: 28 patients underwent perforator-based surgery for locations as face (5), sternum (3), back lomber (4), sacral (4) scrotal areas, leg (2) foot (1). 19 were male while 9 female. The mean age was 58.1±13.5 (22-80 years).
 V-Y design face, areas plus transposition area, sternum. On other hand, subcutaneous-pedicled turnover flap.
 Results: follow-up time 10 months (3-36 months). Partial necrosis seen all 3 who had on lower extremity. There complications short- or long-term follow-ups. Comorbid diseases not statistically significant rates (P>0.05).
 Conclusion: area; ,lomber area are suggested ideal modifications locations. should used first choice reconstruction extremity defects.