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Review ArticleHead & Neck
Open Access

Imaging of Surgical Free Flaps in Head and Neck Reconstruction

J.L. McCarty, A.S. Corey, M.W. El-Deiry, H.M. Baddour, B.M. Cavazuti and P.A. Hudgins
American Journal of Neuroradiology January 2019, 40 (1) 5-13; DOI: https://doi.org/10.3174/ajnr.A5776
J.L. McCarty
aFrom the Department of Diagnostic and Interventional Imaging (J.L.M.), University of Texas Health Sciences Center, Houston, Texas
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A.S. Corey
bDepartments of Radiology and Imaging Sciences (A.S.C., P.A.H.)
eAtlanta VA Healthcare System (A.S.C.), Atlanta, Georgia.
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M.W. El-Deiry
cOtolaryngology (M.W.E.-D., H.M.B.), Emory University School of Medicine, Atlanta, Georgia
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H.M. Baddour
cOtolaryngology (M.W.E.-D., H.M.B.), Emory University School of Medicine, Atlanta, Georgia
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B.M. Cavazuti
dQuantum Radiology (B.M.C.), Marietta, Georgia
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P.A. Hudgins
bDepartments of Radiology and Imaging Sciences (A.S.C., P.A.H.)
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Abstract

SUMMARY: Head and neck surgical reconstruction is complex, and postoperative imaging interpretation is challenging. Surgeons now use microvascular free tissue transfer, also known as free flaps, more frequently in head and neck reconstruction than ever before. Thus, an understanding of free flaps, their expected appearance on cross-sectional imaging, and their associated complications (including tumor recurrence) is crucial for the interpreting radiologist. Despite the complexity and increasing frequency of free flap reconstruction, there is no comprehensive head and neck resource intended for the radiologist. We hope that this image-rich review will fill that void and serve as a go to reference for radiologists interpreting imaging of surgical free flaps in head and neck reconstruction.

ABBREVIATIONS:

ALT
anterolateral thigh
CECT
contrast-enhanced CT
FF
free flap
H&N
head and neck
SCC
squamous cell carcinoma
  • © 2019 by American Journal of Neuroradiology

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American Journal of Neuroradiology: 40 (1)
American Journal of Neuroradiology
Vol. 40, Issue 1
1 Jan 2019
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Cite this article
J.L. McCarty, A.S. Corey, M.W. El-Deiry, H.M. Baddour, B.M. Cavazuti, P.A. Hudgins
Imaging of Surgical Free Flaps in Head and Neck Reconstruction
American Journal of Neuroradiology Jan 2019, 40 (1) 5-13; DOI: 10.3174/ajnr.A5776

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Imaging of Surgical Free Flaps in Head and Neck Reconstruction
J.L. McCarty, A.S. Corey, M.W. El-Deiry, H.M. Baddour, B.M. Cavazuti, P.A. Hudgins
American Journal of Neuroradiology Jan 2019, 40 (1) 5-13; DOI: 10.3174/ajnr.A5776
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