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Kao HK et al. – The medial sural artery perforator flap is a good alternative for head and neck reconstruction of small defects. The medial sural artery perforator flap is advantageous with regard to less donor–site morbidity compared with the free radial forearm flap. The unfamiliarity of the pedicle anatomy of the medial sural artery perforator flap must be weighed against an easily harvested radial forearm flap.


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