This book provides all who are involved in microsurgical tissue transfer, including Plastic Surgeons, ENT Surgeons, Oral and Maxillofacial Surgeons and Trauma Surgeons with all the knowledge they will need in daily practice. The new fourth edition continues with the didactic principle of splitting up complex surgical procedures into a series of simple steps, guided by clearly defined donor site-specific landmarks. For each flap, an anatomically based system of step-by-step procedures is proposed that best combines simplicity, safety, and reliability for successful flap harvesting. Photographs of each step are accompanied by schematic color drawings to enhance understanding of the anatomy. Surgical techniques are also shown in every detail in supplementary videos available online. 

Additional features in this edition include the elevation of the ulnar forearm flap as well as a new chapter on the gracilis free flap, a reliable option for motor reinnervation of the paralyzed face. There were also two more perforator flaps included in this 4th Edition, which are the thoracodorsal artery perforator flap and the medial femoral condyle bone flap. The latter is a suitable donor site for craniofacial bony defects and has been proposed to use in the oral cavity, in particular for reconstruction of the jaws. Like the previous editions, the book will serve as a quick source of focused and straightforward information valuable for any reconstructive surgeon.