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Head and Neck Reconstruction

Neligan, Peter C. F.R.C.S.(I.), F.R.C.S.C., F.A.C.S.

Plastic and Reconstructive Surgery: February 2013 - Volume 131 - Issue 2 - p 260e–269e
doi: 10.1097/PRS.0b013e3182778938
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Learning Objectives: After reading this article, the participant should be able to: 1. Discuss the principles behind the choice of reconstructive techniques for all major head and neck regions. 2. Differentiate between the optimal choices for reconstruction of the different mandibulectomy defects. 3. List the requirements for successful reconstruction of the skull base. 4. Further study new and evolving head and neck reconstruction techniques and options.

Summary: Management of head and neck cancer has undergone many significant changes during the past two decades. This article gives an overview of the major areas in the head and neck, highlighting current practice and more recent trends in reconstruction choices. Further detail is given in the related videos. The five attached videos depict individual techniques of mandibular reconstruction, showing the technique of fibular dissection and osteotomy: endoscopic skull base reconstruction through a transpterygoid/lateral canthotomy approach, scalp reconstruction using a latissimus dorsi free flap and skin graft, maxillary reconstruction using the deep circumflex iliac artery iliac crest and internal oblique flap, and pharyngoesophageal reconstruction using an anterolateral thigh flap.


Seattle, Wash.

From the Division of Plastic Surgery, University of Washington.

Received for publication December 14, 2011; accepted August 27, 2012.

Disclosure: The author has no financial interest to declare in relation to the content of this article.

Related Video content is available for this article. The videos can be found under the “Related Videos” section of the full-text article, or, for Ovid users, using the URL citations published in the article.

Peter C. Neligan, F.R.C.S.(I.), F.R.C.S.C., F.A.C.S.; 1959 NE Pacific Street, Seattle, Wash. 98195,

©2013American Society of Plastic Surgeons