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- Title
Free tissue transfer as a vascular source for the vessel-depleted neck.
- Authors
Tsao, Chung‐Kan; Loh, Charles Yuen Yung; Barrera, Joaquim Megias; Irish, Jonathan
- Abstract
ABSTRACT Background Reconstructing head and neck defects postoncologic resection can be challenging. This problem is further amplified when tackling the vessel-depleted or hostile neck. Free flaps still provide the gold standard of reconstructing such defects. However, with increasing reconstructions, recipient vessel options rapidly diminish. This article provides a technique and strategy in managing such difficult cases using previous free flap pedicles. It also highlights the importance of flap selection in paving the way for future successful reconstructions. Methods We present a fifth sequential free flap reconstruction postoncologic buccal resection and mention the key steps taken to ensure the safe and successful reuse of previous free flap pedicles. Results Intraoperative and postoperative photographs are clearly presented with a particular focus on the management of the recipient pedicle. Conclusion Adequate planning and strategic selection of free flaps with long pedicles can provide the necessary vascular sources needed for future successful free flap head and neck reconstructions. © 2016 Wiley Periodicals, Inc. Head Neck 38: E2515-E2518, 2016
- Subjects
FREE flaps; PEDICLE flaps (Surgery); SURGICAL flaps; SURGICAL excision; HEAD &; neck cancer
- Publication
Head & Neck, 2016, Vol 38, Issue 11, pE2515
- ISSN
1043-3074
- Publication type
Article
- DOI
10.1002/hed.24539