Question
| A. | Axial Flap |
| B. |
Islanded flap |
| C. |
Free flap |
| D. |
Random flap |
|
Correct Answer � C Explanation |
 |
Answer C Free flap
The picture shows a radial forearm free flap. In a free flap the blood supply is isolated, disconnected and then reconnected using microsurgery at the new site.
Other eg: DIEP (Deep inferior epigastric perforators) flap, free fibular flap, Radial artery forearm flap
A random flap include three sides of a rectangle, bearing no specific relationship to where the blood supply
enters.Eg:V-Y plasty, Z plasty, Limberg or rhomboid flap.
Axial flap is much longer and is based on known blood vessels. Eg: Latissmus dorsi flap,TRAM (Transverse
rectus abdominis myocutaneous) flap
Islanded flaps are those in which the axial blood supply is swung round on a stalk.
Reference- Bailey & Love, Short Practice of Surgery – 27th Edition • Page no 636