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Related Concept Videos

Veins of Head and Neck01:19

Veins of Head and Neck

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The blood drainage from the head and neck is primarily managed by three pairs of veins: the external jugular, internal jugular, and vertebral veins. The external jugular veins drain superficial scalp and face structures, passing over the sternocleidomastoid muscles to empty into the subclavian veins.
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Arteries of the Head and Neck01:26

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The human body's intricate network of arteries ensures that every organ system receives the necessary oxygen and nutrients for optimal function. The arterial network in the head and neck region is particularly complex, providing vital blood flow to the brain, eyes, and other critical structures. Prominent arteries in this region include the internal carotid arteries and the vertebral arteries.
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Updated: May 3, 2026

Modified Radical Neck Dissection for Cervical Metastasis
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Head and neck reconstruction.

Prabha Yadav1

  • 1Department of Plastic and Reconstructive Surgery, Tata Memorial Hospital, Mumbai, Maharashtra, India.

Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India
|February 7, 2014
PubMed
Summary

Reconstructive surgery utilizes advanced free flaps like the Radial Artery (FRAF), Anterolateral Thigh (ALT), and Fibula Osteocutaneous Flap (FFOCF) for defect repair. These versatile flaps offer excellent outcomes, with high survival rates improving patient management.

Keywords:
Free flaphead and neckreconstruction

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Area of Science:

  • Plastic Surgery
  • Microsurgery
  • Reconstructive Surgery

Background:

  • Reconstructive surgery aims to restore form and function after tissue excision.
  • Free flap reconstruction has become a standard procedure for complex defects.
  • Advances in microsurgical techniques have improved flap survival rates.

Purpose of the Study:

  • To highlight the efficacy and versatility of three popular free flaps in reconstructive surgery.
  • To emphasize the reconstructive potential of Radial Artery (FRAF), Anterolateral Thigh (ALT), and Fibula Osteocutaneous Flap (FFOCF).

Main Methods:

  • Review of common free flap techniques used in reconstructive surgery.
  • Description of the characteristics and applications of FRAF, ALT, and FFOCF.
  • Discussion of flap survival rates and functional outcomes.

Main Results:

  • FRAF offers thin, pliable, innervated skin.
  • ALT provides ample skin and bulk.
  • FFOCF delivers strong bone segments (22-25 cm) and a reliable skin paddle.
  • Free flap survival rates approach 98% in leading institutions.

Conclusions:

  • FRAF, ALT, and FFOCF are highly effective free flaps for reconstructing diverse defects.
  • These flaps provide excellent aesthetic and functional results.
  • High free flap survival rates signify their established role in modern reconstructive surgery.