Articles: PDF OnlyReversed Saphenous Neurocutaneous Island Flap: Clinical ExperienceCavadas, Pedro C. M.D., Ph.D. Author Information Valencia, Spain From the Center for Reconstructive Surgery at Casa de Salud. Received for publication March 12, 1996; revised June 20, 1996. Dr. Pedro C. Cavadas P° Facultades 1, C-10 46021 Valencia, Spain Plastic and Reconstructive Surgery: June 1997 - Volume 99 - Issue 7 - p 1940-1946 Buy Abstract The description of blood supply to the skin through the superficial perineural vascular network has led to the concept of neurocutaneous flaps. Based on preexisting anatomic studies, the clinical use of large reversed-flow neurocutaneous saphenous island flaps is described. This flap is based on the arterial axis associated with the saphenous nerve and the greater saphenous vein in the lower leg. The donor area can be closed by soleus muscle advancement over the tibia and skin grafting. Five successful cases are reported with a low complication rate. (Plast. Reconstr. Surg. 99: 1940, 1997.) ©1997American Society of Plastic Surgeons