Background: In the evolution of flap physiology and reconstruction, there has been a trend of decreased donor-site morbidity. In this article, the chronology of flap reconstruction is discussed, with particular emphasis on the current state of nonmicrosurgical perforator based flaps.
Methods: A literature search was conducted to study the evolution of flap physiology and reconstruction. Using this database, the authors describe the evolution of pedicled perforator flap reconstruction. Various examples of perforator-based flaps are discussed in this article.
Results: The literature review identified examples of scenarios where pedicled perforator flaps from various regions of the body are viable options. Several clinical cases are presented with respect to each region.
Conclusion: Pedicled perforator flaps are a new concept in nonmicrosurgical perforator flap reconstruction.