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Related Concept Videos

Healing II: Complications01:24

Healing II: Complications

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Complications during healing arise when tissue repair is altered by local or systemic factors. These changes involve abnormal collagen deposition, altered biomechanics, and reduced vascular supply, impairing restoration of normal structure and function.Loss of FunctionScar tissue differs significantly from the original tissue it replaces. In the skin, fibrosis lacks adnexal structures such as hair follicles, sebaceous glands, and sweat glands. Their absence reduces tactile sensitivity, impairs...
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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Related Experiment Video

Updated: May 6, 2026

Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
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Complications in facial flap surgery.

Charles R Woodard1

  • 1Division of Otolaryngology-Head & Neck Surgery, Facial Plastic and Reconstructive Surgery, Duke University Medical Center, DUMC 3805, Durham, NC 27710, USA.

Facial Plastic Surgery Clinics of North America
|November 9, 2013
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Summary

Learn essential concepts for successful head and neck reconstruction using local flaps. This guide details common pitfalls and provides pearls to avoid surgical complications, ensuring better patient outcomes.

Keywords:
ComplicationsFacial flapHematomaInfectionIschemiaMohs reconstructionTension

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Area of Science:

  • Plastic Surgery
  • Head and Neck Surgery
  • Reconstructive Surgery

Background:

  • Local flaps are a cornerstone of head and neck reconstructive surgery.
  • Surgical complications can arise from various factors, impacting patient outcomes.
  • A thorough understanding of potential issues is crucial for successful reconstruction.

Purpose of the Study:

  • To elucidate fundamental concepts of local flap reconstruction in the head and neck.
  • To identify and address common surgical complications associated with these procedures.
  • To provide practical pearls for achieving successful reconstructive outcomes.

Main Methods:

  • Review of common complications in head and neck local flap surgery.
  • Analysis of tension-related, ischemic, hematologic, and infectious causes of complications.
  • Compilation of expert recommendations and best practices for complication avoidance.

Main Results:

  • Identification of key factors contributing to local flap failure.
  • Strategies for mitigating tension, ischemia, and hematologic issues.
  • Methods for preventing and managing infectious complications.

Conclusions:

  • Mastering fundamental concepts of local flaps is vital for head and neck reconstruction.
  • Proactive management of potential complications significantly improves surgical success rates.
  • Adherence to best practices reduces morbidity and enhances functional and aesthetic results.