TY - JOUR
T1 - Reconstruction of massive defects in the head and neck
T2 - The role of simultaneous distant and regional flaps
AU - Blackwell, Keith E.
AU - Buchbinder, Daniel
AU - Biller, Hugh F.
AU - Urken, Mark L.
PY - 1997/10
Y1 - 1997/10
N2 - Background. Massive defects resulting from excision of advanced head and neck tumors may not be amenable to reconstruction using a single technique of tissue transfer. Sixteen patients undergoing reconstruction using simultaneous free flaps and pedicled regional flaps are presented. Methods. Regional flaps included the pectoralis major, delto-pectoral, cervical visor, paramedian forehead, cervicofacial, and nape of neck flaps. Microvascular tissue transfers included the radial forearm, lilac crest, parascapular/latissimus dorsi, rectus abdominis, fibula, and lateral thigh free flaps. Results. Most defects involved both aerodigestive mucosa and external cutaneous skin. Mucosal reconstruction was carried out using the soft-tissue component of the free flaps, whereas vascularized bone was used for mandibular reconstruction. Regional flaps were used to reconstruct skin of the face and neck. Conclusions. When planned and applied in a stepwise fashion, simultaneous free flaps and regional flaps are complimentary for the reconstruction of complex wounds in the head and neck.
AB - Background. Massive defects resulting from excision of advanced head and neck tumors may not be amenable to reconstruction using a single technique of tissue transfer. Sixteen patients undergoing reconstruction using simultaneous free flaps and pedicled regional flaps are presented. Methods. Regional flaps included the pectoralis major, delto-pectoral, cervical visor, paramedian forehead, cervicofacial, and nape of neck flaps. Microvascular tissue transfers included the radial forearm, lilac crest, parascapular/latissimus dorsi, rectus abdominis, fibula, and lateral thigh free flaps. Results. Most defects involved both aerodigestive mucosa and external cutaneous skin. Mucosal reconstruction was carried out using the soft-tissue component of the free flaps, whereas vascularized bone was used for mandibular reconstruction. Regional flaps were used to reconstruct skin of the face and neck. Conclusions. When planned and applied in a stepwise fashion, simultaneous free flaps and regional flaps are complimentary for the reconstruction of complex wounds in the head and neck.
KW - Free flap
KW - Head and neck cancer
KW - Head and neck surgery
KW - Reconstructive surgery
KW - Regional flap
UR - http://www.scopus.com/inward/record.url?scp=0030924143&partnerID=8YFLogxK
U2 - 10.1002/(SICI)1097-0347(199710)19:7<620::AID-HED10>3.0.CO;2-6
DO - 10.1002/(SICI)1097-0347(199710)19:7<620::AID-HED10>3.0.CO;2-6
M3 - Article
C2 - 9323152
AN - SCOPUS:0030924143
SN - 1043-3074
VL - 19
SP - 620
EP - 628
JO - Head and Neck
JF - Head and Neck
IS - 7
ER -