Regional Flap Donor Sites in Head and Neck Reconstruction

Otolaryngol Clin North Am. 2023 Aug;56(4):639-651. doi: 10.1016/j.otc.2023.04.008. Epub 2023 May 26.

Abstract

Regional flaps are vital to head and neck reconstruction, allowing surgeons to harvest numerous reliable flaps without the need for microvascular anastomosis. These flaps are very useful in cases of vascular depletion and may prove superior to free flaps as a primary option in certain circumstances. Numerous harvest options are available, and the described harvest techniques are safe and straightforward for an experienced reconstructive surgeon to learn. Donor site morbidity is variable depending on flap selection but minimal in many cases. Regional flaps are an excellent option in resource-limited settings or when minimizing reoperation is a high priority.

Keywords: Head and neck reconstruction; Latissimus flap; Pectoralis major flap; Regional flap; Submental flap; Supraclavicular flap; Temporalis flap; Temporoparietal fascia flap.

Publication types

  • Review

MeSH terms

  • Free Tissue Flaps*
  • Head / surgery
  • Head and Neck Neoplasms* / surgery
  • Humans
  • Neck / surgery
  • Plastic Surgery Procedures*
  • Treatment Outcome