Mayo Clinic Experience with Unfavorable Results After Free Tissue Transfer to Head and Neck

Thomas H. Nagel, Richard E Hayden

Research output: Contribution to journalReview article

3 Scopus citations


Free tissue transfer to the head and neck in the modern era has a high success rate. To maximize success with reconstructive surgery in the head and neck region, it helps to understand those factors that present unique challenges. These factors include contamination by the upper aerodigestive tract, tissue mobility, and a high percentage of patients receiving radiotherapy for oncologic treatment. This article reviews the authors’ experience in the head and neck, specifically how addressing these factors can best lead to successful functional and aesthetic outcomes. The authors share surgical techniques and lessons learned from their successes and failures.

Original languageEnglish (US)
Pages (from-to)669-682
Number of pages14
JournalClinics in Plastic Surgery
Issue number4
StatePublished - Oct 1 2016



  • Free flap
  • Head and neck reconstruction
  • Microsurgery
  • Salvage

ASJC Scopus subject areas

  • Surgery

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