We believe the axillary (lateral thoracic) flap should be one of the free flaps of choice in children, because it has vessels of 1.5 mm or more in diameter--thus making it possible for the donor and recipient vessels to be approximately the same diameters. This makes the suturing easier and helps to ensure a good result. The patency rate increases as the diameter of the vessels to be anastomosed increases. We present a successful case in which this flap was used in an 8-year-old boy.
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Irigaray et al. (1979) studied this question.
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