Scholarlink

Purpose of Review <p>This review evaluates the use of various vascularized osteocutaneous flaps in head and neck reconstruction, comparing the fibula free flap (FFF) with alternative options: the deep circumflex iliac artery (DCIA) flap, scapular free flap (SFF), medial femoral condyle (MFC) and trochlea (MFT) flaps, and the osteocutaneous radial forearm flap (OCRFF). By analyzing recent data and findings, we aim to clarify the unique characteristics, benefits, drawbacks, and clinical applications of each flap type.</p> Recent Findings <p>The role of alternative bone flaps beyond the FFF is expanding in head and neck reconstruction. Comparative studies and advances in surgical techniques have highlighted the benefits of these alternatives. For example, the DCIA flap and SFF offer enhanced soft tissue coverage and natural contouring, while the MFC and MFT flaps are suited for smaller, specialized defects. The OCRFF is particularly effective for small-area defects in patients with comorbidities or contraindications to other flap types.</p> Summary <p>While the FFF remains the gold standard for many head and neck reconstructions due to its versatility and ability to support dental implants, alternative bone flaps provide valuable options tailored to specific patient needs. These flaps demonstrate comparable or superior outcomes in certain clinical scenarios, such as when soft tissue coverage, contouring, or vascular considerations are necessary. Future research should continue to refine patient selection criteria and utilize technological advances to enhance reconstructive and clinical outcomes.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Alternative Bone Flaps in Head and Neck Reconstruction

  • 期刊论文

  • 发表日期：

    2025年7月9日

查看全文
  • Sophia S. Song,
  • Alexander F. Mericli,
  • Mark V. Schaverien,
  • Z-Hye Lee

摘要

Purpose of Review

This review evaluates the use of various vascularized osteocutaneous flaps in head and neck reconstruction, comparing the fibula free flap (FFF) with alternative options: the deep circumflex iliac artery (DCIA) flap, scapular free flap (SFF), medial femoral condyle (MFC) and trochlea (MFT) flaps, and the osteocutaneous radial forearm flap (OCRFF). By analyzing recent data and findings, we aim to clarify the unique characteristics, benefits, drawbacks, and clinical applications of each flap type.

Recent Findings

The role of alternative bone flaps beyond the FFF is expanding in head and neck reconstruction. Comparative studies and advances in surgical techniques have highlighted the benefits of these alternatives. For example, the DCIA flap and SFF offer enhanced soft tissue coverage and natural contouring, while the MFC and MFT flaps are suited for smaller, specialized defects. The OCRFF is particularly effective for small-area defects in patients with comorbidities or contraindications to other flap types.

Summary

While the FFF remains the gold standard for many head and neck reconstructions due to its versatility and ability to support dental implants, alternative bone flaps provide valuable options tailored to specific patient needs. These flaps demonstrate comparable or superior outcomes in certain clinical scenarios, such as when soft tissue coverage, contouring, or vascular considerations are necessary. Future research should continue to refine patient selection criteria and utilize technological advances to enhance reconstructive and clinical outcomes.