Head and Neck SurgeryTransverse Cervical Artery Perforator Flap Standardized Surgical Technique and Multiple Reconstructive Opportunity in Head and Neck SurgeryLuca, Nicola MD*; Santana, Maria Josè MD†; Festa, Bianca Maria AS*; Collurà, Fabio MD*; Righini, Stefano MD*Author Information From the *Department of Clinical Sciences and Community Health, San Giuseppe Hospital-Multimedica Group, Università degli Studi di Milano, Milan, Italy; and †Department of Human Anatomy and Histology, Universidad Miguel Hernández de Alicante, Spain. Received March 3, 2017, and accepted for publication, after revision April 5, 2017. Conflicts of interest and sources of funding: none declared. Reprints: Bianca Maria Festa, AS, San Giuseppe Hospital-Multimedica Group, Via San Vittore 12, 20123 Milan, Italy. E-mail: [email protected]. Annals of Plastic Surgery: December 2017 - Volume 79 - Issue 6 - p 577-582 doi: 10.1097/SAP.0000000000001144 Buy Metrics Abstract The main purpose of head and neck reconstructive surgery is to provide anatomic restoration of the demolited region and to provide preservation and recovery of function. The anatomical investigations conducted over the years has enabled a detailed knowledge of human body vascularization, giving the opportunity to design and harvest more and more versatile and refined flaps, with increasingly satisfactory results. Even if in the last 2 decades free flaps have been considered a reconstructive criterion standard, they still determine a great physical impact for the patient and require a certain surgical experience. In particular, perforator flaps (based on vessels that, emerging from the main deep axis, supply superficial myofascial cutaneous tissues) represent the new reconstructive frontier, of which a wide variety of types has been described. Our purpose is to illustrate the preparation and harvesting of the transverse cervical artery perforator flap and the variety of its utilization in head and neck reconstruction. From February 2005 to May 2015, 41 reconstructions were performed, and not only for oncologic reasons. Thanks to its anatomical features, reduced donor site morbidity and rapid preparation, this flap is a safe and feasible alternative to most famous free and locoregional flaps. Because our outcomes in functional and aesthetic terms were mostly satisfying, we can assert that the transverse cervical artery perforator flap has an important role in an appropriate reconstructive strategy for head, neck, and oropharyngolaryngeal region. Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.