Principles of local flaps in head and neck reconstruction

Jonathan M Sykes, Craig S. Murakami

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Reconstruction of deformities of the head and neck requires careful preoperative planning. This should include precise analysis of the size and location of the defect. The specific technique used to reconstruct a given facial defect should consider many basic principles. These include placing scars in relaxed skin tension lines when possible, minimizing donor defects, using the contralateral side as a model when possible, and replacing entire facial aesthetic subunits. After careful analysis of the defect and the tissue available for reconstruction, design of a closure method for the defect can be carefully planned. Large defects that cross multiple aesthetic facial units may often require multiple closure techniques. The specific reconstructive methods used should take into account a variety of factors and attempt to maximize function and minimize cosmetic deformity.

Original languageEnglish (US)
Pages (from-to)2-10
Number of pages9
JournalOperative Techniques in Otolaryngology - Head and Neck Surgery
Issue number1
StatePublished - 1993

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology


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