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Head Neck Oncol. 2011 Mar 8;3:14. doi: 10.1186/1758-3284-3-14.

Complex reconstructions in head and neck cancer surgery: decision making.

Author information

1
Department of Plastic, Reconstructive and Aesthetic Surgery, Hand Surgery, Bielefeld, Germany. imke.wehage@klinikumbielefeld.de

Abstract

Defects in head and neck after tumor resection often provide significant functional and cosmetic deformity. The challenge for reconstruction is not only the aesthetic result, but the functional repair. Cancer may involve composite elements and the in sano resection may lead to an extensive tissue defect. No prospective randomized controlled studies for comparison of different free flaps are available. There are many options to cover defects and restore function in the head and neck area, however we conclude from experience that nearly all defects in head and neck can be closed by 5 different free flaps: radial forearm flap, free fibula flap, anterior lateral thigh flap, lateral arm flap and parascapular flap.

PMID:
21385421
PMCID:
PMC3070688
DOI:
10.1186/1758-3284-3-14
[Indexed for MEDLINE]
Free PMC Article
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