Local Random Pattern Flaps

Abstract

This chapter outlines principles and techniques of local random pattern flap design. Local flaps may be utilized across the body for trauma following oncologic resection, trauma, or burn reconstruction. An approach to utilization of the local random pattern flap will be discussed, including assessment of the defect, indications/contraindications for use of a local flap, practicalities of design and technique, and postoperative care. Various specific local flaps and case examples of their use will be reviewed. The local random pattern flap is an essential tool in the plastic surgeon’s armamentarium, providing versatility when faced with daunting wounds that might otherwise require much more extensive reconstructive options. By adhering to basic principles of geometry and respecting flap vascularity, the local random pattern flap can offer uniquely advantageous reconstructive opportunities to both surgeon and patient.