ArticleArchives of craniofacial surgery2020
Recipient vessel selection for head and neck reconstruction: A 30-year experience in a single institution.
Article in Archives of craniofacial surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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17 citing papers in PubMed, 25 citations in OpenAlex.
- Second or subsequent microvascular free flaps in head and neck reconstructive surgery: a narrative review.Annals of medicine and surgery (2012) · 2026Article
- Reconstruction of Clival Defects using Vascularized Free and Pedicled Flaps: Systematic Review and Proposed Algorithms.Journal of neurological surgery. Part B, Skull base · 2026Article
- In vitro and in vivo validation of a novel 3D-printed vessel anastomosis device for microvascular surgery.Scientific reports · 2026Article
- Anatomical Variations in the Superior Thyroid Artery: A Systematic Review and Implications for Free Flap Surgery.Journal of clinical medicine · 2025Review
- The Multidisciplinary Team in Head and Neck Cancer Reconstruction: A Reference Manual for the Plastic Surgeon.Seminars in plastic surgery · 2025Review
- Surgical learning curve and flap survival in head and neck microvascular reconstruction using arterial and venous couplers.Contemporary oncology (Poznan, Poland) · 2025Article
- Perspectives in Using Multiple Flaps Reconstructions for Advanced Head and Neck Tumors (Scoping Review).Medicina (Kaunas, Lithuania) · 2024Article
- Ultrasound in Microsurgery: Current Applications and New Frontiers.Journal of clinical medicine · 2024Review
- Anatomical Study of the Application of a Galeo-Pericranial Flap in Oral Cavity Defects Reconstruction.Journal of clinical medicine · 2023Article
- Usefulness of perforating branches of the deep femoral artery and vein as recipient vessels during free-flap reconstruction for extensive defects of the thigh.Journal of surgical case reports · 2023Article
- An Analysis of Volume, Length and Segmentation of Free Fibula Flap in Reconstruction of the Jaws: Investigation of Their Role on Flap Failure.Reports (MDPI) · 2023Article
- Evolution and current status of microsurgical tongue reconstruction, part II.Archives of craniofacial surgery · 2022Article
- Current status and evolution of microsurgical tongue reconstructions, part I.Archives of craniofacial surgery · 2022Article
- The Journey of the Lingual Artery from the Neck to the Oral Cavity: A Cadaveric Study.Craniomaxillofacial trauma & reconstruction · 2022Article
- Social Perception of Reconstruction following Orbital Exenteration.Plastic and reconstructive surgery. Global open · 2021Article
- Reconstructive methods to resolve intractable fistulas that develop after radiation therapy in patients with head and neck cancer.Archives of craniofacial surgery · 2021Article
- Reconstruction of a pathologic fracture following osteomyelitis of the mandible using a fibula osteocutaneous flap.Archives of craniofacial surgery · 2021Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe advance in microsurgical technique has facilitated a proper approach for reconstruction of extensive head and neck defects. For the success of free tissue reconstruction, selection of the recipient vessel is one of the most important factors. However, the vascular anatomy of this region is very complex, and a clear guideline about this subject is still lacking. In this study, we present our 30 years of experiences of free tissue reconstruction for head and neck defects.
methodsIn this retrospective study, we analyzed a total of 138 flaps in 127 patients who underwent head and neck reconstruction using free tissue transfer following tumor resection between October 1986 to August 2019. Patients who underwent facial palsy reconstruction were excluded. Medical records including patient's demographics, detailed operation notes, follow-up records, and photographs were collected and analyzed.
resultsAmong a total of 127 patients, 10 patients underwent a secondary operation due to cancer recurrence. The most commonly used type of flap was radial forearm flap (n= 107), followed by the anterolateral thigh flap (n= 18) and fibula flap (n= 10). With regard to recipient vessels, superior thyroid artery was most commonly used in arterial anastomosis (58.7%), and internal jugular vein (51.3%) was the first choice for venous anastomosis. The flap survival rate was 100%. Four cases of venous thrombosis were resolved with thrombectomy and re-anastomosis.
conclusionSuperior thyroid artery and internal jugular vein were reliable choices as recipient vessels. Proper recipient vessel selection could improve the result of head and neck reconstruction.
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