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Semin Plast Surg 2003; 17(4): 345-350
DOI: 10.1055/s-2004-817706
Copyright © 2003 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Current Issues and Future Directions in Head and Neck Reconstruction

Peter C. Neligan
  • Department of Surgery, University of Toronto, Toronto, Canada
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Publication History

Publication Date:
13 April 2004 (online)

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ABSTRACT

This article examines current practice in the various areas of head and neck reconstruction, including mandible, skull base, floor of mouth, tongue, maxilla, pharyngoesophagus, and larynx. Flaps such as the fibula, which have become the “gold standard” in mandibular reconstruction, are compared with the radial forearm flap, which previously held a similar position in floor-of-mouth reconstruction. The influences of newer flaps such as the anterolateral thigh flap are discussed. Also, the emerging role of perforator flaps in head and neck reconstruction is described. As well, the resurging interest in the iliac crest in reconstruction of the maxilla is highlighted. The concept of tissue-engineered and prefabricated flaps is put into perspective with regard to the oncology patient, and the future role of tissue transplantation is explored.

KEYWORDS

Head and neck - advances - future

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