TCAP Flap for Faciocervical Reconstruction: Our Experiences and Innovations

Objective: To explore the application of transverse cervical artery perforator (TCAP) flap for the reconstruction of face and neck. Methods: In this study, 39 cases with the deformities on face and neck were treated using transverse cervical artery perforator flap or pre-expanded ones since May, 2008. The size of the flap ranged from 5cm×8cm to 14cm×22cm. The donor sites were closed directly in the above 35 patients with expander or reconstructed by split skin grafting in 4 patients with no expander. Results: The flaps in 39 patients were transferred to the defects with free-tension and no flap loss. Through a mean time of 6 months follow-up, all the patients were satisfied with recipient function and appearance. The color and the texture matched well with the recipient area. Conclusions: The transverse cervical artery perforator flap can be considered one of the best options for faciocervical reconstruction with excellent result on the recipient site and only less obvious line-shape scar on the donor site after sutured directly.