“…Many chemicals, such as sympatholytics, vasodilators, calcium channel blockers, prostaglandin inhibitors, glucocorticoids and free radical scavengers are known to improve flap viability (de Godoy et al, 2010; Gözü et al, 2010; Livaoğlu et al, 2009; Manchio et al, 2009; Nezami et al, 2009; 2010). However, even with these chemical treatments, flap necrosis may still occur.…”