Medial femoral condyle free flap for head and neck reconstruction.

PURPOSE OF REVIEW: The aim of this article is to review the literature on medial femoral condyle (MFC) free flap in head and neck reconstruction. RECENT FINDINGS: The MFC flap is a superb material for head and neck reconstruction, especially in smaller bony defects. As an alternative to fibular free flap, it presents many advantages. Combining the periosteal bone with skin and/or muscle paddle, the MFC flap is suitable for complex reconstructions with favorable healing process. Even though this flap has a longer history of orthopedic and traumatologic reconstructions, a number of cases in head and neck surgery have been recently reported. SUMMARY: The MFC flap has been successfully used to reconstruct various head and neck sites, from the orbit, maxilla, and mandible, to the laryngeal and tracheal scaffolds.