*7.2.2.3 Plasty technique with random flap*

Random flap can be used in different forms: sliding flap, rotation flap, rotationsliding flap, permutation flap.


According to Fujioka M.'s report 2012, random flap is not recommended in treating radiation-induced skin lesion, because the peri-ulcerative tissue was contaminated, resulting in poorly supplied blood vessels, delaying the recovery process [59]. In Di Meo et al.' study, they also suggested not choosing random flap because of the high necrotic incidence, so it was preferable to use/select pedicled flaps [64]. According to a study by Strawberry et al. [61], the use of local (random) flaps was also recommended because the peri-ulcerative tissues were often damaged due to radiation, resulting in necrotic flap. However, this kind of flap can still be indicated in case of small area ulcer, early ulcer, low radiation dose, with soft, mobile and well-supplied surroundings.
