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Backgro und The thoracoacromial artery perforator (TAAP) flap used in its pedicle or in the free microvascular variant is an emerging flap for use? as areconstructive option for the head and neck region.Patients and Methods? Between 2006 and 2013, 17 patients with a mean age of 34 years (range, 17-59 years)underwent a TAAP flap? procedure for reconstruction of post-oncologic and post-traumatic head and neck defects.Results? The pedicle TAAP flap was used to reconstruct neck (n =5) and hypopharyngeal defects (n =5);the free TAAP flap was usedto resurface lower hemiface (n =4),tongue (n=1) and intraoral (n=2) defects.The flap size ranged from 4.5 × 7 cmto 12 ×17 cm, with a mean thickness of 0.5 cm.The pectoralis major muscle was preserved in all of the? cases.All of the patients healed uneventfully.The donor site was closed directly infour cases;askin graft was usedin 4 patients, and the donor site was covered by a local flap in one case.