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Objectives: TDAP is a workhorse flap as free and pedicled flap in complex soft tissue reconstructionBackground: Improvements in our knowledge of the vascular anatomy have enabled the design of a new type of fasciocutaneous flaps, which are based on perforating vessels only. Thus, donor site morbidity is markedly reduced.Methods: The authors describe their experience about the role of TDAP flap in reconstruction of different complex tissue defects. Representative cases are presented for illustration.Results: We conducted a study involving 24 patients who underwent TDAP flap reconstructions from January 2022 to January 2024. The patients aged 4 to 49 years. Flaps ranged in size from 12 cm × 6 cm to 26 cm × 15 cm. In 12 cases, two perforators were identified; in 9 cases, one perforator; and in 3 cases, three perforators. Free TDAP flaps were used in 17 cases, while pedicled flaps were used in 7 cases. The donor site was primarily closed in all cases without any movement restrictions. There was one case of partial flap loss, but no cases of total flap loss.Conclusions: TDAP flap provides a reliable and versatile option for plastic surgeons in reconstruction of complex soft tissue defects with limited donor site morbidity and excellent functional and esthetic results.
Elnahas et al. (Sat,) studied this question.