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Related Experiment Video

Updated: Mar 29, 2026

Porcine As a Training Module for Head and Neck Microvascular Reconstruction
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Versatile Three-Dimensional Head and Neck Reconstruction Using a Thoracodorsal Artery-Based Chimeric Flap: A

Youn Hwan Kim1, Seung Eun Hong2,3, Daihun Kang2,3

  • 1Department of Plastic and Reconstructive Surgery, College of Medicine, Hanyang University, Seoul 04763, Republic of Korea.

Journal of Clinical Medicine
|March 28, 2026
PubMed
Summary

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This summary is machine-generated.

The thoracodorsal chimeric flap effectively reconstructs complex head and neck defects using a single pedicle. While flap survival is high, complication rates necessitate careful patient selection and further research.

Area of Science:

  • Plastic Surgery
  • Head and Neck Surgery
  • Reconstructive Surgery

Background:

  • Complex head and neck defects often necessitate multi-tissue reconstruction.
  • The thoracodorsal artery-based chimeric flap presents a solution for single-pedicle reconstruction of diverse tissue types.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of thoracodorsal chimeric flaps in head and neck reconstruction.
  • To assess flap survival and complication rates in patients with complex defects.

Main Methods:

  • Retrospective review of 19 patients undergoing head and neck reconstruction with thoracodorsal chimeric flaps (2009-2026).
  • Flap configurations included skin paddle, latissimus dorsi muscle, and serratus anterior muscle.
  • Analysis of flap survival, complication rates, and functional outcomes.
Keywords:
chimeric flapfree flaphead and neck reconstructionlatissimus dorsithoracodorsal artery perforator flap

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Main Results:

  • 100% flap survival was achieved in all 19 patients.
  • Common complications included pharyngocutaneous fistula (31.6%), managed conservatively.
  • All survivors achieved tracheostomy decannulation and successful oral intake.

Conclusions:

  • Thoracodorsal chimeric flaps are a viable option for complex head and neck reconstruction requiring multiple tissue components via a single pedicle.
  • High complication rates in this high-risk population underscore the need for careful management and further prospective studies.