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. Correspondence to Jacek Banaszewski, Department of Otolaryngology Head and Neck Surgery, Poznan University of Medical Sciences. Przybyszewskiego 49, 60355 Poznan, Poland. Tel: +48 61 8691387; e-mail: bananana@poczta.onet.pl Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.
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