Aesthetic Reconstruction of Head and Neck Defects

Manoj T. Abraham, M.D., F.A.C.S. Keith E. Blackwell, M.D.

Techniques for reconstruction of the head and neck region have existed for centuries. The article by Sclafani et al in this issue details the evolution of nasal reconstruction, including techniques such as the pedicled arm flap pioneered by Gaspare Tagliacozzi in the 15th century (depicted in the oval inset background on the cover of this issue). In other areas, technological advances, including the relatively recent introduction of the surgical microscope, endoscopes, microplating, alloplasts, lasers, and computer technology, have completely revolutionized the field of head and neck reconstruction. In this issue, we seek to capture the current state of the art in surgical reconstruction of head and neck defects.

In many ways, it is relatively straightforward to fill a surgical defect in any area. The challenge lies in achieving the best aesthetic and functional outcome, especially in an area as intricate and visible to scrutiny as the head and neck. The many distinguished authors in this issue share their insights, tips, and pearls in meeting this challenge.