Free flaps to the head and neck

Twenty-six patients with head and neck tumors were submitted to 27 microvascular reconstructive procedures. In 15, the mandible was reconstructed using the rib (4), iliac crest (7), and scapula (4). Nine patients underwent craniofacial reconstructions with the latissimus dorsi (5), rectus abdominis (2), greater omentum (2), and scapular (1) flaps. Two patients received a jejunum (1) and a stomach plus greater omentum (1) flaps for pharyngoesophageal reconstruction. Three illustrative cases, one from each group, are presented in detail. Good results were obtained in 22 patients (85%), with both functional and morphological rehabilitation. There were five flap losses (two in the same patient) due to thrombosis of the microvascular anastomoses. There was no operative mortality, and the average operative time was 11 hours. The good results observed in these very advanced cases show that there is a place for these complex procedures in the treatment of selected cases of head and neck tumors.

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Microvascular flaps in head and neck reconstruction

Morais-Besteiro

Cernea

Santos

et al. 1990

Head & Neck

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Head and neck free flaps: Are they safe in the irradiated or pediatric patient?

Mustoe

Upton

1988

Head Neck

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Forty‐three tissue transfers were performed in 41 patients for severe head and neck defects, no two of which were identical. Two thirds of the patients were in the pediatric age group (18 years or less), and 16 presented with severe radiation‐related defects. No bowel transfers are included in this group. The majority of the defects were complex, three‐dimensional defects in the cheek secondary to radiotherapy, surgery, or congenital defect. Free flaps were chosen to give the optimal aesthetic result and because they gave the best solution to the problem rather than the only solution. Total flap loss occurred in one patient, and partial loss occurred in two of the 43 flaps. No significant problems were encountered with either the radiotherapy or pediatric age group, although the complexity of the reconstruction was often greater. There were more flap‐related complications in the radiotherapy group, although these were all minor.

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Long-term follow-up of a free groin flap in hemifacial atrophy

Anseeuw

Matton

1987

Eur J Plast Surg

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Free flaps to the head and neck

Abstract: Early attempts at microvascular reconstruction in the head and neck area with free tissue

Cited by 10 publications

References 37 publications

Microvascular flaps in head and neck reconstruction

Microvascular flaps in head and neck reconstruction

Head and neck free flaps: Are they safe in the irradiated or pediatric patient?

Long-term follow-up of a free groin flap in hemifacial atrophy

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