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- ArticleDaniel RK, Kerrigan CL, Gard DA.Plast Reconstr Surg. 1978 May;61(5):653-65.The intercostal flap has many uses for torso reconstruction, whether employed as an island flap or a free flap. With modifications, it can be used as a sensory skin flap, or as a compound osteocutaneous flap to restore stability in a chest wall construction, or as a skin flap with a permanent blood supply to provide stable cover after excision of radiation ulcers.