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A Model of Free Tissue Transfer: The Rat Epigastric Free Flap
Published on: January 15, 2017
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Abdominal-based free flaps in head and neck reconstruction.
Joshua A Bloom1, Christopher Homsy
1Department of Surgery, Division of Plastic Surgery, Tufts Medical Center, Boston, Massachusetts, USA.
Summary
Abdominal-based free flaps offer valuable alternatives for head and neck reconstruction. These versatile flaps provide excellent options when traditional methods are unsuitable, enhancing patient quality of life.
Area of Science:
- Plastic Surgery
- Head and Neck Surgery
- Reconstructive Surgery
Background:
- Head and neck surgeons commonly utilize anterolateral thigh, radial forearm, and parascapular flaps for reconstruction.
- Familiarity with these established flaps is high within the reconstructive surgical community.
Purpose of the Study:
- To review major abdominal-based free tissue transfers for head and neck reconstruction.
- To present these as viable alternatives to traditional workhorse flaps.
Main Methods:
- Literature review of abdominal-based free flaps used in head and neck reconstruction.
- Analysis of flap characteristics and reconstructive applications.
Main Results:
- Abdominal-based free flaps are effective alternatives or second-line options in head and neck reconstruction.
- The deep circumflex iliac artery flap is highlighted as a strong alternative to the fibular free flap, offering comparable bone height and improved quality of life.
Conclusions:
- Expanding the armamentarium of head and neck surgeons with abdominal-based free flaps is crucial.
- These flaps provide valuable reconstructive options, potentially improving patient outcomes and quality of life.
