- In order to restore aesthetic appearance and/or function after removal of large masses in the head and neck, some patients require reconstruction of the defect.
- Reconstruction can be simple or complex and decisions are made in a stepwise fashion.
- Options include:
- Skin grafts (taking full or split thickness skin from one part of the body to another)
- Cutaneous flaps (moving skin with its blood supply from an area very close by, called a local flap, or from a bit further away, called a regional flap). Examples include a nasolabial flap (local), cervical flap (regional) and a deltopectoral flap (regional).
- Myocutaneous flaps (moving both muscle and skin with its blood supply from an area close to the resection site). An example is a pectoralis major flap.
- Microvascular free tissue transfer (moving skin, muscle, fascia, bone or a combination of any of the above from distant parts of the body, dividing it’s blood supply and reconnecting this blood supply to arteries and veins in the neck). Examples include a radial forearm, anterolateral thigh, and fibula free flap.