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Microvascular flaps in head and neck reconstruction.

J Morais-Besteiro1, C R Cernea, L R dos Santos

  • 1Department of Plastic Surgery, Hospital das Clínicas, University of São Paulo Medical School, Brazil.

Head & Neck
|January 1, 1990
PubMed
Summary
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Microvascular reconstruction offers effective functional and morphological rehabilitation for head and neck tumors. This study shows good outcomes in 85% of patients undergoing complex reconstructive procedures.

Area of Science:

  • Reconstructive Surgery
  • Oncology
  • Microsurgery

Background:

  • Head and neck tumors often require extensive surgical resection.
  • Reconstruction is critical for restoring function and appearance.
  • Microvascular free flaps are a cornerstone of complex reconstructive surgery.

Observation:

  • Twenty-six patients underwent 27 microvascular reconstructive procedures for head and neck tumors.
  • Mandible, craniofacial, and pharyngoesophageal reconstructions were performed using various free flaps.
  • Three detailed case examples illustrate the reconstructive techniques.

Findings:

  • Good functional and morphological rehabilitation was achieved in 22 patients (85%).
  • Five flap losses occurred due to microvascular anastomosis thrombosis.

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  • No operative mortality was observed, with an average operative time of 11 hours.

    • Implications:

    • Microvascular reconstructive procedures are viable for selected advanced head and neck tumors.
    • These complex techniques can achieve significant patient rehabilitation.
    • Further research may focus on minimizing flap loss due to thrombosis.