1. The use of the Siamese combined free flap to reconstruct challenging defects: twin and triplet variants 
N.W. Bulstrode, I. Kotronakis, N. Lotz, M.A.R. Baldwin 
British Journal of Plastic Surgery 
Volume 58, Issue 4, Pages (June 2005)
DOI: /j.bjps
Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

2. Figure 1
Koshima's classification of free connected or combined flaps, 1, Bridge, 2, Chimeric, 3, Siamese, 4, Mosaic, 5, Chain-article.
British Journal of Plastic Surgery  , DOI: ( /j.bjps )
Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

3. Figure 2
The defect after gunshot injury to the face leaving a defect of mandibular loss from angle to angle, central maxilla, lip and nose defect (left). A free Siamese deep circumflex iliac artery and superficial circumflex iliac artery flap was raised as marked (middle). This was combined with forehead and tongue regional flaps (right).
British Journal of Plastic Surgery  , DOI: ( /j.bjps )
Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

4. Figure 3
The resulting defect after debridement (left). The postreconstruction views (right).
British Journal of Plastic Surgery  , DOI: ( /j.bjps )
Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

5. Figure 4
The Siamese tensor fasciae latae and deep circumflex iliac artery flap before division of both individual pedicles.
British Journal of Plastic Surgery  , DOI: ( /j.bjps )
Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

6. Figure 5
The Siamese tensor fasciae latae and deep circumflex iliac artery flap showing the iliac bone.
British Journal of Plastic Surgery  , DOI: ( /j.bjps )
Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

7. Figure 6
The neglected tumour involving the mouth and mandible (left). The defect after tumour excision (middle) and the late postoperative result (right).
British Journal of Plastic Surgery  , DOI: ( /j.bjps )
Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

8. Figure 7
The recurrent tumour and obvious radiotherapy field (left) and the defect after excision (right).
British Journal of Plastic Surgery  , DOI: ( /j.bjps )
Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions

9. Figure 8
A Siamese triplet flap comprised of the contralateral tensor fasciae latae, superficial circumflex iliac artery flap and latisimus dorsi flapstill attatched by the thoracodorsal pedicle (left). The postoperative result (right).
British Journal of Plastic Surgery  , DOI: ( /j.bjps )
Copyright © 2005 The British Association of Plastic Surgeons Terms and Conditions