Evaluation of the role of gracilis free flap in reconstruction of orofacial defects

Abstract

Background: Microsurgical tissue transfer has constantly improved the therapeutic options for reconstruction in the head and neck region, but the ideal flap has yet to be found. The purpose of this study is to discuss the aesthetic and functional potential of the free gracilis muscle flap in difficult head and neck reconstruction. Patients and Methods: We report our experience with the free gracilis muscle flap in eleven patients who underwent reconstruction in the head and neck region for a variety of indications. Results: In all eleven patients, the transplanted muscle flaps healed well, with no flap loss. Postoperative complications consisted of donor-site morbidity that was minimal in all patients. Conclusion: For difficult reconstruction in the head and neck region, the free gracilis muscle flap offers a number of advantages, including reliable vascular anatomy, relatively great plasticity and a concealed donor area. Thus this type of flap offers a valuable option whenever an aesthetically and functional pleasing result is sought.