Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Search research articles

Related Experiment Video

Updated: May 15, 2026

Porcine As a Training Module for Head and Neck Microvascular Reconstruction

Porcine As a Training Module for Head and Neck Microvascular Reconstruction

Published on: September 29, 2018

Autonomized flaps in secondary head and neck reconstructions.

G Colletti¹, L Autelitano, K Tewfik

¹Department of Maxillo-Facial Surgery, San Paolo Hospital, Milan, Italy. giacomo.colletti@gmail.com

Acta Otorhinolaryngologica Italica : Organo Ufficiale Della Societa Italiana Di Otorinolaringologia E Chirurgia Cervico-Facciale

|January 18, 2013

Summary

Delayed locoregional flaps offer a viable alternative for head and neck reconstruction when free flaps are unsuitable. These flaps demonstrated success in complex cases with acceptable outcomes and minimal donor site morbidity.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Optimizing the pathological diagnosis of diffuse malignant peritoneal mesothelioma.

European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·2025

Same author

Comparative Analysis of End-to-End versus End-to-Side Neurorrhaphy for the upper crossface in the second surgical step of triple innervation technique for Facial Reanimation Surgery: A Retrospective Study.

Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery·2025

Same author

Segmental maxillary osteotomy in cleft lip and palate patients: a stepwise planning in the orthodontic pre-surgical preparation with Invisalign.

European journal of paediatric dentistry·2024

Same author

Superior rectal artery preservation to reduce anastomotic leak rates in familial adenomatous polyposis patients treated with total colectomy and ileorectal anastomosis.

Techniques in coloproctology·2023

Same author

The role of the dentist and the orthodontist in early diagnosis of Gorlin-Goltz syndrome: a cephalometric and photometric study.

European journal of paediatric dentistry·2023

Same author

Impact of Covid-19 pandemic on children with special needs requiring general anaesthesia for the treatment of dental disease: the experience of the Brescia Children's Hospital, Lombardy, Italy.

European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry·2022

Area of Science:

Plastic Surgery
Head and Neck Reconstruction
Reconstructive Surgery

Background:

Free flaps are the standard for head and neck reconstruction due to high success rates and low donor site morbidity.
However, free flaps may be contraindicated or impossible in certain patient populations.
Alternative reconstructive methods are needed for complex cases.

Observation:

This case series describes four patients requiring head and neck reconstruction after prior flap failure.
Patients were unsuitable for free flap reconstruction due to adverse conditions.
Delayed locoregional flaps, including temporalis fasciocutaneous and supraclavicular flaps, were utilized.

Findings:

All delayed locoregional flaps and grafts were viable, reconstructing large cheek and commissural defects.

Keywords:

Delayed flap Free flap failure Locoregional flap

Related Experiment Videos

Last Updated: May 15, 2026

Porcine As a Training Module for Head and Neck Microvascular Reconstruction

Porcine As a Training Module for Head and Neck Microvascular Reconstruction

Published on: September 29, 2018

Patients achieved acceptable functional and aesthetic outcomes with negligible donor site morbidity.

The procedures required an average of three surgical sessions per patient.

Implications:

Delayed locoregional flaps represent a safe and valid alternative when free flaps are contraindicated or not ideal for head and neck reconstruction.
Limitations include longer hospitalization and the necessity for multi-stage surgical procedures.
This approach may be beneficial for select patients with complex reconstructive needs.