Skin Grafts & Flaps
Skin Grafts (no own blood supply — depend on the bed)
- Split-thickness skin graft (STSG) — epidermis + part of dermis; takes more reliably but contracts more.
- Full-thickness skin graft (FTSG) — epidermis + full dermis; less contraction, better colour/texture match, but needs a well-vascularised bed.
Flaps (carry their own blood supply)
- Pedicled flap — remains attached to its vascular base.
- Free flap — detached and reanastomosed microsurgically at the recipient site (e.g., radial forearm, fibula for mandible reconstruction).
Exam Tips ⭐
STSG = better take, more contraction; FTSG = less contraction; free flap = microvascular transfer.