Flaps and Grafts in Head and Neck Surgery

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Abstract
Otolaryngologists are the physicians best trained in the specialized diagnostic examinations of the head and neck. They are the most informed about the anatomy and physiology of this region. It is imperative that they remain proficient in the various surgical reconstructive techniques possible in this area. An in-depth discussion on tissue transplantation in head and neck surgery is presented. The use of various free grafts and pedicle flaps is examined. A new classification with emphasis on donor area is offered. The importance of inviolate vessels and surgical techniques is stressed. The conservative approach to head and neck cancer is radical eradication of the disease. This philosophy coupled with skill in reconstructive procedures should result in an improvement in survival figures and in the functional and cosmetic rehabilitation of patients.

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