Another Dimension for the Choice in the Reconstructive Ladder, the Free Style Perforator Flap

Background: The reconstructive ladder is an old conceptthat is familiar to all plastic surgeons. It is an arrangement ofmethods to reconstruct tissue defects from the easy to mostcomplex one. With the advent of surgery, a lot of flimsy spotsand difficulties showed up and yet showing up with theutilization of this old reconstructive stepping stool.Objective: In this work, the authors will present anotherview of the reconstructive ladder that they incited that is morevaluable to the patient than the bygone one.Patients and Methods: The authors discussed six clinicalcases. In each case, a travel study comparing the use of allthe steps of the ladder to reach the best.Results: The discussion of the clinical cases that includedother reconstructive options demonstrated and affirmed therequirement for modifications in the reconstructive ladder.Conclusion: The addition of the pedicled freestyle perforatorflap would be a valuable update to the reconstructiveladder. The reconstructive Ladder is better viewed and organizedas an order of beneficial priority to the patients ratherthan a classification of reconstructive options from simplicityto sophistication.