Surgical free flaps in head and neck reconstruction
Category | Free Flap | Reconstructs | Donor Artery |
---|---|---|---|
Muscular | Rectus abdominis | Skull base, orbit | Deep inferior epigastric |
Latissimus dorsi | Skull base, scalp | Thoracodorsal | |
Fascial | Radial forearm | Oral cavity, tongue, palate, nose, face, scalp, lip, pharynx, larynx | Radial |
Ulnar forearm | Oral cavity, tongue, palate, nose, face, scalp, lip, pharynx, larynx, cervical esophagus | Ulnar | |
Lateral thigh | Oral cavity, tongue, palate, pharynx | Deep femoral | |
Anterolateral thigh | Oral cavity, tongue, palate, pharynx, larynx, cervical esophagus | Descending branch, lateral circumflex femoral | |
Scapula | Oral cavity, tongue, palate, nose, face, lip | Subscapular | |
Osseous | Fibula | Mandible | Peroneal |
Radius | Mandible & midface | Radial | |
Scapula | Mandible & midface | Subscapular, thoracodorsal | |
Iliac crest | Mandible & midface | Deep circumflex | |
Visceral | Jejunum | Pharynx, esophagus | Superior mesenteric branches |
Omentum | Scalp | Gastroepiploic |