Abstract
Purpose of reviewTo review the recent literature on the use of multiple flaps in head and neck reconstruction with attention to form, function, outcomes, and complications.Recent findingsMultiple free flap reconstructions are technically feasible with high flap survival rates, tolerable complication rates, and overall adequate functional and aesthetic outcomes, given the large extent of the defects and the high surgical complexity of these cases.SummaryMultiple free flap reconstructions should be considered in cases of large defects involving multiple functional regions and tissue types, which most often arises following resection of advanced malignancies. As there is mortality benefit with clear surgical margins and eradication of malignant lymph nodes, larger resections should be pursued if necessary, followed by a multiple flap reconstruction.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 392-400 |
| Number of pages | 9 |
| Journal | Current Opinion in Otolaryngology and Head and Neck Surgery |
| Volume | 27 |
| Issue number | 5 |
| DOIs | |
| State | Published - Oct 1 2019 |
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Keywords
- free flap
- head and neck reconstruction
- microsurgery
- multiple flaps
ASJC Scopus subject areas
- Surgery
- Otorhinolaryngology
Cite this
Use of multiple free flaps in head and neck reconstruction. / Hsieh, Tsung Yen; Bewley, Arnaud.
In: Current Opinion in Otolaryngology and Head and Neck Surgery, Vol. 27, No. 5, 01.10.2019, p. 392-400.Research output: Contribution to journal › Review article
}
TY - JOUR
T1 - Use of multiple free flaps in head and neck reconstruction
AU - Hsieh, Tsung Yen
AU - Bewley, Arnaud
PY - 2019/10/1
Y1 - 2019/10/1
N2 - Purpose of reviewTo review the recent literature on the use of multiple flaps in head and neck reconstruction with attention to form, function, outcomes, and complications.Recent findingsMultiple free flap reconstructions are technically feasible with high flap survival rates, tolerable complication rates, and overall adequate functional and aesthetic outcomes, given the large extent of the defects and the high surgical complexity of these cases.SummaryMultiple free flap reconstructions should be considered in cases of large defects involving multiple functional regions and tissue types, which most often arises following resection of advanced malignancies. As there is mortality benefit with clear surgical margins and eradication of malignant lymph nodes, larger resections should be pursued if necessary, followed by a multiple flap reconstruction.
AB - Purpose of reviewTo review the recent literature on the use of multiple flaps in head and neck reconstruction with attention to form, function, outcomes, and complications.Recent findingsMultiple free flap reconstructions are technically feasible with high flap survival rates, tolerable complication rates, and overall adequate functional and aesthetic outcomes, given the large extent of the defects and the high surgical complexity of these cases.SummaryMultiple free flap reconstructions should be considered in cases of large defects involving multiple functional regions and tissue types, which most often arises following resection of advanced malignancies. As there is mortality benefit with clear surgical margins and eradication of malignant lymph nodes, larger resections should be pursued if necessary, followed by a multiple flap reconstruction.
KW - free flap
KW - head and neck reconstruction
KW - microsurgery
KW - multiple flaps
UR - http://www.scopus.com/inward/record.url?scp=85071513398&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85071513398&partnerID=8YFLogxK
U2 - 10.1097/MOO.0000000000000574
DO - 10.1097/MOO.0000000000000574
M3 - Review article
C2 - 31389852
AN - SCOPUS:85071513398
VL - 27
SP - 392
EP - 400
JO - Current Opinion in Otolaryngology and Head and Neck Surgery
JF - Current Opinion in Otolaryngology and Head and Neck Surgery
SN - 1068-9508
IS - 5
ER -