[quote]I find it very interesting that in Canada the thigh is the preferred site for a flap while in the states it remains the forearm.[/quote]

Some areas of Europe seem to prefer back or shoulder. It may also be a question of size -- My first flap was only for the front 2/3rds of the mobile tongue, so the wrist donor site was more than adequate -- However, my second flap was a total glossectomy, from tip to BOT, and required a lot more tissue (The scar on my thigh is ten inches long -- It would have been difficult to get that much tissue from my other wrist).


Age 67 1/2
Ventral Tongue SCC T2N0M0G1 10/05
Anterior Tongue SCC T2N0M0G2 6/08
Base of Tongue SCC T2N0M0G2 12/08
Three partial glossectomy (10/05,11/05,6/08), PEG, 37 XRT 66.6 Gy 1/06
Neck dissection, trach, PEG & forearm free flap (6/08)
Total glossectomy, trach, PEG & thigh free flap (12/08)
On August 21, 2010 at 9:20 am, Pete went off to play with the ratties in the sky.