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Updated: Aug 31, 2025

Porcine As a Training Module for Head and Neck Microvascular Reconstruction
Published on: September 29, 2018
The posterior tibial artery free flap for head and neck reconstruction
1Department of Otolaryngology, University of Kentucky Lexington, Kentucky, USA.
Purpose:
The posterior tibial artery free flap (PTAFF) has been a mainstay of lower extremity reconstruction. Over the past 30 years, it has been intermittently used for head and neck reconstruction with recent renewed interest given its versatility.
Recent Findings:
Use of the PTAFF in head and neck reconstruction is expanding along with the continued evolution of microvascular techniques. Differences in overall health, incidence of smoking, and body habitus can impact the utility of this flap and should be taken into consideration when choosing to use it.
Summary:
The PTAFF for head and neck reconstruction is a useful tool for the head and neck/reconstructive surgeon. Understanding the potential pitfalls and caveats to use of the PTAFF is important for successful use of this versatile flap.

