CC BY-NC-ND 4.0 · Indian J Plast Surg 2013; 46(02): 275-282
DOI: 10.4103/0970-0358.118604
Review Article
Association of Plastic Surgeons of India

Head and neck reconstruction

Prabha Yadav
Department of Plastic and Reconstructive Surgery, Tata Memorial Hospital, Mumbai, Maharashtra, India
› Author Affiliations
Further Information

Publication History

Publication Date:
07 October 2019 (online)

ABSTRACT

Whatever is excisable, is reconstructable! "You excise, we will reconstruct" are the confident words of reconstructive surgeons today. Reconstruction with multiple flaps has become routine. Radial artery (FRAF), Antero lateral thigh (ALT) and Fibula osteo cutaneous flap (FFOCF) are three most popular free flaps which can reconstruct any defect with excellent asthetics and performance. Radial Artery provides thin, pliable innervated skin; ALT large amount of skin & bulk; and FFOCF strong 22 to 25 centimetres of bone and reliable skin paddle. Free flap survival has gone to 98% in most of the renouned institutes and is an established escalator in management of defects.

 
  • 1 Haughey BH, Beggs JC, Bong J, Genden EM, Buckner A. Microneurovascular allotransplantation of the canine tongue. Laryngoscope 1999;109:1461-70.
  • 2 Gastman B, Djohan R, Siemionow M. Extending the Cordeiro maxillofacial defect classification system for use in the era of vascularized composite transplantation. Plast Reconstr Surg 2012;130:419-22.
  • 3 O′Malley BW Jr, Weinstein GS, Snyder W, Hockstein NG. Transoral robotic surgery (TORS) for base of tongue neoplasms. Laryngoscope 2006;116:1465-72.
  • 4 Leonhardt FD, Quon H, Abrahão M, O′Malley BW Jr, Weinstein GS. Transoral robotic surgery for oropharyngeal carcinoma and its impact on patient-reported quality of life and function. Head Neck 2012;34:146-54.
  • 5 Fennis JP, Stoelinga PJ, Merkx MA, Jansen JA. Reconstruction of the mandible with a poly D (L-lactide) scaffold, autogenous corticocancellous bone graft, and autogenous platelet-rich plasma: An animal experiment. Tissue Eng 2005;11:1045-53.
  • 6 Rai R, Ranade AV, Prabhu LV, Pai MM, Madhyastha S, Kumaran M. A pilot study of the mandibular angle and ramus in Indian population. Int J Morphol 2007;25:353-6.
  • 7 Delacure M. Reconstruction of mandible. Indian J Plast Surg 2007;40:28-34.
  • 8 Chepeha DB, Teknos TN, Fung K, Shargorodsky J, Sacco AG, Nussenbaum B, et al. Lateral oromandibular defect: When is it appropriate to use a bridging reconstruction plate combined with a soft tissue revascularized flap? Head Neck 2008;30:709-17.
  • 9 Wei FC, Celik N, Yang WG, Chen IH, Chang YM, Chen HC. Complications after reconstruction by plate and soft-tissue free flap in composite mandibular defects and secondary salvage reconstruction with osteocutaneous flap. Plast Reconstr Surg 2003;112:37-42.
  • 10 Robb GL, Marunick MT, Martin JW, Zlotolow IM. Midface reconstruction: Surgical reconstruction versus prosthesis Head Neck 2001;23:48-58.
  • 11 Kim DD, Dreher MA. The fibula free flap in maxillary reconstruction. Atlas Oral Maxillofac Surg Clin North Am 2007;15:13-22.
  • 12 Brown JS. Maxillary reconstruction. Indian J Plast Surg 2007;l40:35-43.
  • 13 Urken ML, Bridger AG, Zur KB, Genden EM. The scapular osteofasciocutaneous flap: A 12-year experience. Arch Otolaryngol Head Neck Surg 2001;127:862-9.
  • 14 Clark JR, Vesely M, Gilbert R. Scapular angle osteomyogenous flap in postmaxillectomy reconstruction: Defect, reconstruction, shoulder function, and harvest technique. Head Neck 2008;30:10-20.
  • 15 Cordeiro PG, Chen CM. A 15-year review of midface reconstruction after total and subtotal maxillectomy: Part I. Algorithm and outcomes. Plast Reconstr Surg 2012;129:124-36.
  • 16 Cordeiro PG, Chen CM. A 15-year review of midface reconstruction after total and subtotal maxillectomy: Part II. Technical modifications to maximize aesthetic and functional outcomes. Plast Reconstr Surg 2012;129:139-47.
  • 17 Patel D, Kuriakose MA, Iyer S. Reconstruction of laryngopharynx. Indian J Plast Surg 2007;40:35-43.
  • 18 Spriano G, Pellini R, Roselli R. Pectoralis major myocutaneous flap for hypopharyngeal reconstruction. Plast Reconstr Surg 2002;110:1408-13.
  • 19 Gilbert RW, Neligan PC. Microsurgical laryngotracheal reconstruction. Clin Plast Surg 2005;32:293-301.
  • 20 Vos JD, Burkey BB. Functional outcomes after free flap reconstruction of the upper aerodigestive tract. Curr Opin Otolaryngol Head Neck Surg 2004;12:305-10.
  • 21 Murray DJ, Novak CB, Neligan PC. Fasciocutaneous free flaps in pharyngolaryngo-oesophageal reconstruction: A critical review of the literature. J Plast Reconstr Aesthet Surg 2008;61:1148-56.
  • 22 de Vicente JC, de Villalaín L, Torre A, Peña I. Microvascular free tissue transfer for tongue reconstruction after hemiglossectomy: A functional assessment of radial forearm versus anterolateral thigh flap. J Oral Maxillofac Surg 2008;66:2270-5.
  • 23 Yu P. Reinnervated anterolateral thigh flap for tongue reconstruction. Head Neck 2004;26:1038-44.
  • 24 Lyos AT, Evans GR, Perez D, Schusterman MA. Tongue reconstruction: Outcomes with the rectus abdominis flap. Plast Reconstr Surg 1999;103:442-7.