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Second free tissue transfers in head and neck reconstruction
Kate E McCarn1, Tamer Ghanem, Jennifer Tartaglia
1Department of Otolaryngology-Head and Neck Surgery, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Portland, OR 97239, USA.
Summary
Second free tissue transfers are a viable option for head and neck reconstruction, offering good flap survival rates. This study evaluated patient factors, reconstructive choices, and outcomes for these repeat procedures.
Area of Science:
- Head and Neck Surgery
- Reconstructive Surgery
- Microsurgery
Background:
- Free tissue transfer is a cornerstone of head and neck reconstruction.
- Increasingly, patients require repeat reconstructions after initial free tissue transfer procedures.
Purpose of the Study:
- To evaluate patient characteristics, reconstructive options, flap survival, and perioperative outcomes for second free tissue transfers in head and neck reconstruction.
Main Methods:
- Retrospective chart review of 65 patients undergoing a second free tissue transfer.
- Analysis of flap types, patient demographics, and complication rates.
Main Results:
- Tumor recurrence was the most common reason (53%) for a second flap.
- Radial forearm and fibula flaps were most frequently used.
- Flap survival was high (97%), with 13% requiring reoperation for complications. In-hospital mortality was 4.6%.
Conclusions:
- Second free tissue transfers represent a reliable reconstructive method in head and neck surgery.
- Acceptable flap survival and complication rates can be achieved in repeat free tissue transfers.
