Regional flaps: A move to simpler reconstructive options in the head and neck

Matthew H. Rigby, Richard E. Hayden

Research output: Contribution to journalArticle

21 Scopus citations

Abstract

Purpose of review: The use of regional flaps in head and neck reconstruction is experiencing a resurgence. This review surveys the growing body of clinical evidence supporting these techniques. Recent findings: The supraclavicular flap and submental island flap are two regional flaps that provide thin pliable tissue for head and neck reconstruction. The submental island flap has been demonstrated to be oncologically safe in the setting of oral cavity malignancy in patients without clinical level I disease. For moderate mucosal defects, the facial artery myomucosal flap and palatal island flap provide regional options for reconstruction with minimal donor-site morbidity. The pectoralis major and latissimus dorsi flap remain excellent options in patients medically unsuitable for a free flap, salvage reconstructions, vessel depleted necks and when the defect is able to accommodate the bulk of the flap. Summary: Regional flaps continue to evolve and remain an integral part of a reconstructive surgeon's armamentarium. A working knowledge of these techniques is integral to maximizing outcomes for head and neck reconstructions, while minimizing morbidities and cost.

Original languageEnglish (US)
Pages (from-to)401-406
Number of pages6
JournalCurrent Opinion in Otolaryngology and Head and Neck Surgery
Volume22
Issue number5
DOIs
StatePublished - Oct 1 2014

Keywords

  • Flap reconstruction
  • Head and neck reconstruction
  • Regional flaps
  • Submental flap
  • Supraclavicular flap

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

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