Use of multiple free flaps in head and neck reconstruction

Tsung Yen Hsieh, Arnaud Bewley

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations


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 languageEnglish (US)
Pages (from-to)392-400
Number of pages9
JournalCurrent Opinion in Otolaryngology and Head and Neck Surgery
Issue number5
StatePublished - Oct 1 2019
Externally publishedYes


  • free flap
  • head and neck reconstruction
  • microsurgery
  • multiple flaps

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology


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