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Updated: Jul 31, 2026

Porcine As a Training Module for Head and Neck Microvascular Reconstruction
Published on: September 29, 2018
Application of flap economics in head and neck reconstruction
Wen Peng1, Haixia Zhang1, Lei Jin1
1Department of Head and Neck Surgery, The Third Affiliated Hospital of Kunming Medical University, Yunnan Cancer Hospital, Kunming, Yunnan, China.
Background:
The Kiss flap technique, aligned with flap economics, has gained traction in head and neck cancer reconstruction. This study evaluates "classic" and "non-classic" Kiss flap methods and explores flap economics principles.
Methods:
We retrospectively analyzed 50 patients undergoing head and neck cancer surgery with Kiss flap reconstruction between January 2016 and May 2023.
Results:
Patients (34 males, 16 females; mean age 53) were categorized into "classic" (n = 27) and "non-classic" (n = 23) groups. Seventy percent exhibited good postoperative healing. The anterolateral thigh (ALT) flaps showed the highest stability and lowest complication rate (21 %), followed by radial forearm free flap (RFFF) (30 %), pectoralis major myocutaneous flap (PMMF) (46 %), and Fibula (50 %).
Conclusion:
Both Kiss flap techniques represent viable alternative options for head and neck reconstruction in complicated cases. ALT flaps offer superior stability. Flap economics aids in resource optimization, emphasizing personalized flap selection for optimal outcomes.
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