Outcomes research in head and neck reconstruction

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Abstract
Head and neck reconstruction requires objective self-examination of the ever-growing armamentarium of reconstructive techniques to determine which techniques render maximal function and cosmesis while maintaining cost efficiency. This self-examination is not only paramount in these times of medical and economic uncertainty but is necessary to provide optimal reconstruction to our patients based on location and size of defect, patient expectations, functional requirements, and life expectancy. Outcome studies in this area to date have been limited and retrospective. Lack of a uniform system for reporting defect size and location as well as patient function and quality of life have limited the utility of the available data. In this review, outcomes research in head and neck reconstruction is discussed with regard to objective study parameters using the oral cavity as a model. Pertinent current literature is cited.

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