Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Defining Quality in Head and Neck Reconstruction.

Peter M Vila1, Jason T Rich1, Shaun C Desai2

  • 11 Department of Otolaryngology-Head & Neck Surgery, Washington University School of Medicine, St Louis, Missouri, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|April 19, 2017
PubMed
Summary

Related Concept Videos

You might also read

Related Articles

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

Sort by
Same authorSame journal

Development of Novel mRNA Classifiers to Stratify Preoperative Thyroid Tumor Risk.

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery·2026
Same author

Orticochea Flap for Reconstruction of Large Scalp Defects: Outcomes and Technique.

The Laryngoscope·2026
Same author

High-avidity TCR signaling induces a distinct KLR-positive exhaustion state in human tumor-infiltrating CD8 T cells associated with immunotherapy response.

bioRxiv : the preprint server for biology·2026
Same author

Reconstruction and Facial Reanimation After Temporal Bone Resection: A Multi-Institution Experience.

Head & neck·2026
Same author

Chasing Zebras.

JAMA·2026
Same author

Clinical behavior and predictors of survival in major salivary gland secretory carcinoma.

Oral oncology·2026

Microvascular free flap reconstruction is standard for head and neck defects. Flap failure is catastrophic, yet quality metrics for reconstructive centers are lacking, necessitating further research into outcome measures.

Area of Science:

  • Plastic Surgery
  • Head and Neck Surgery
  • Reconstructive Surgery

Background:

  • Microvascular free flap reconstruction is the standard for select head and neck defects.
  • Flap failure, though uncommon, leads to severe patient morbidity, prolonged hospitalization, and increased costs.
  • Currently, no established gold standard exists for evaluating reconstructive center quality.

Purpose of the Study:

  • To highlight the critical need for outcome measures in microvascular free flap reconstruction.
  • To identify key areas for future research to improve reconstructive center quality assessment.

Main Methods:

  • Review of current practices and literature regarding microvascular free flap reconstruction.
  • Identification of existing structure and process outcomes.
Keywords:
free tissue flapsmicrovascular surgeryperformance measurequality indicatorreconstructive surgery

Related Experiment Videos

  • Analysis of areas requiring further investigation for comprehensive outcome measurement.

    • Main Results:

    • Microvascular free flap reconstruction is standard but prone to catastrophic failure.
    • Existing quality metrics focus on structure and process, with outcome measures underdeveloped.
    • Significant gaps exist in defining and measuring reconstructive center performance.

    Conclusions:

    • There is an urgent need for validated outcome measures to assess the quality of head and neck reconstructive centers.
    • Future research should focus on preoperative optimization, surgical planning, perioperative management, and clear performance metrics.
    • Developing robust outcome measures is essential to improve patient care and reduce the impact of flap failure.