Free profunda femoral artery perforator flap has become a good alternative of anterolateral thigh (ALT) flap for head and neck reconstruction. PAP flap is a pliable flap which provide a reliable pedicle with adequate length and anastomotic caliber. It has better donor-site cosmesis than ALT flap.
In this talk the characteristics, advantages and operative methods of PAP flap will be described. The speaker’s personal experience and indications will be also discussed. The tips of flap design, flap inset and flap harvest will be demonstrated.

The PAP flap should be considered one of the first-line options for head and neck reconstruction, receiving special consideration in the high-risk population in which future complex reconstructions could be needed.

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