Microvascular augmentation of the super-thin occipito-cervico-dorsal flap

The super-thin flap technique was first devised in China. Flaps thinned by this technique are especially useful in the neck, face or hands of patients with extensive burn scarring, where the combination of thinness and suppleness is needed. However, some of these radically thinned flaps may suffer from superficial or full thickness necrosis due to the unpredictability of survival of the super-thinned area. In this paper, we present a technique of microvascular augmentation of the blood supply of the thinned flap, an example of so-called "supercharging".