Surgical Free Flaps and Grafts in Head and Neck Reconstruction: Principles and Postoperative Imaging

Prashant Raghavan¹, Kalpesh Vakharia², Robert E Morales³, Sugoto Mukherjee⁴

Affiliations

¹ Neuroradiology, Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD 21201, USA. Electronic address: praghavan@umm.edu.
² Department of Otorhinolaryngology-Head and Neck Surgery, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, 419 West Redwood Street, Suite 370, Baltimore, MD 21201, USA.
³ Neuroradiology, Diagnostic Neuroradiology Fellowship, Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD 21201, USA.
⁴ Department of Radiology and Medical Imaging, University of Virginia Health System, PO Box 800170, 1215 Lee Street, Charlottesville, VA 22908-1070, USA.

PMID: 34809845
DOI: 10.1016/j.nic.2021.09.002

Review

Surgical Free Flaps and Grafts in Head and Neck Reconstruction: Principles and Postoperative Imaging

Prashant Raghavan et al. Neuroimaging Clin N Am. 2022 Feb.

. 2022 Feb;32(1):75-91.

doi: 10.1016/j.nic.2021.09.002.

Authors

Prashant Raghavan¹, Kalpesh Vakharia², Robert E Morales³, Sugoto Mukherjee⁴

Affiliations

¹ Neuroradiology, Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD 21201, USA. Electronic address: praghavan@umm.edu.
² Department of Otorhinolaryngology-Head and Neck Surgery, R Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, 419 West Redwood Street, Suite 370, Baltimore, MD 21201, USA.
³ Neuroradiology, Diagnostic Neuroradiology Fellowship, Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, 22 South Greene Street, Baltimore, MD 21201, USA.
⁴ Department of Radiology and Medical Imaging, University of Virginia Health System, PO Box 800170, 1215 Lee Street, Charlottesville, VA 22908-1070, USA.

PMID: 34809845
DOI: 10.1016/j.nic.2021.09.002

Abstract

This review article discusses the basic principles behind the use of flaps and grafts for reconstructive surgery in the head and neck, with a special emphasis on the types of commonly used free flaps, their imaging appearance as well as some frequently encountered postoperative complications. Given the ubiquity and complexity of these reconstructive techniques, it is essential that head and neck radiologists be familiar in distinguishing between the expected evolving findings, complications, and tumor recurrence.

Keywords: Complications; Head and neck cancer; Head and neck reconstruction; Myocutaneous flaps; Posttreated neck.

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Disclosure The authors have nothing to disclose.

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Surgical Free Flaps and Grafts in Head and Neck Reconstruction: Principles and Postoperative Imaging

Affiliations

Surgical Free Flaps and Grafts in Head and Neck Reconstruction: Principles and Postoperative Imaging

Authors

Affiliations

Abstract

Conflict of interest statement

Publication types

MeSH terms

LinkOut - more resources

Full Text Sources

Medical