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Reconstructive techniques after ablative head and neck surgery.

C F Wurster, R H Ossoff

    Otolaryngologic Clinics of North America
    |August 1, 1985
    PubMed
    Summary
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    Head and neck surgeons have various reconstructive options, including myocutaneous, osteomyocutaneous, and free flaps. This review details these surgical techniques and their associated complications for effective patient care.

    Area of Science:

    • Reconstructive surgery
    • Head and neck surgery
    • Surgical techniques

    Background:

    • Head and neck cancer treatment often necessitates complex reconstructive procedures.
    • Advancements in reconstructive surgery offer diverse options for restoring form and function.

    Purpose of the Study:

    • To provide a comprehensive overview of current reconstructive alternatives for head and neck defects.
    • To detail the various types of flaps used in head and neck reconstruction.
    • To catalog potential complications associated with these reconstructive methods.

    Main Methods:

    • Review of available literature on reconstructive techniques in head and neck surgery.
    • Detailed description of myocutaneous flaps, osteomyocutaneous flaps, and free flaps.

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  • Analysis and categorization of complications reported in the use of these flaps.

    • Main Results:

    • Myocutaneous flaps offer robust tissue transfer for head and neck reconstruction.
    • Osteomyocutaneous flaps provide bony and soft tissue coverage, ideal for structural defects.
    • Free flaps enable precise reconstruction with vascularized tissue, offering versatility.

    Conclusions:

    • A range of reconstructive options, including myocutaneous, osteomyocutaneous, and free flaps, are available for head and neck surgeons.
    • Understanding the specific advantages and potential complications of each flap type is crucial for successful outcomes.
    • This review serves as a guide to selecting the most appropriate reconstructive strategy based on individual patient needs.