Preferences help
enabled [disable] Abstract
Number of results
2010 | 82 | 12 | 666-676
Article title

The Use of Double Independent Free Flaps for Tissue Reconstruction After Extensive Head and Neck Tumors Resection

Title variants
Languages of publication
Malignant tumors of head and neck regions usually need wide radical resections and may cause significant functional and aesthetic deficits. When a surgeon has to deal with extensive 3-D defect in lower or middle face region, double or multiple free flaps can be used.The aim of the study was to present own methods modifications and results of double free flaps techniques in patients with extensive defects of head and neck region. The authors present quality of life evaluation related to different flaps reconstructions.Material and methods. Clinical material consists of 33 patients with locally advanced cancer of lower or middle face region, who underwent surgical treatment in Departmant of Surgical and Reconstructive Surgery, Cancer Center Maria Skłodowska-Curie Instytute, Gliwice, Poland. In all patients double free flaps were chosen.Results. Whole group good functional and aesthetic results have been achieved. The QOL analysis show that the use of double flap in middle of lower face reconstruction gives generally very good results.Conclusions. The use of double free flaps after extensive resections of head and neck tumors is an efficient solution. The above-mentioned technique enables to reconstruct several different anatomical structures, restore optimal functioning, and assure a satisfactory psychosocial effect.
Physical description
1 - 12 - 2010
23 - 2 - 2011
  • Posch NA, Mureau MA, Dumans AG et al.: Functional and aesthetic outcome and survival after double free flap reconstruction in advanced head and neck cancer patients. Plast Reconstr Surg 2007; 120(1): 124-29.
  • Wei FC, Demirkan F, Chen HC et al.: Double free flaps in reconstruction of extensive composite mandibular defects in head and neck cancer. Plast Reconstr Surg 1999; 103(1): 39-47.
  • Gabr E, Kobayashi MR, Salibian AH et al.: Mandibular reconstruction: are two flaps better than one? Ann Plast Surg 2004; 52(1): 31-35.
  • Freije JE, Campbell BH, Yousif NJ et al.: Reconstruction after infrastructure maxillectomy using dual free flaps. Laryngoscope 1997; 107(5): 694-97.
  • Boyd JB, Rosen I, Rotstein L et al.: The iliac crest and the radial forearm flap in vascularized oromandibular reconstruction. Am J Surg 1990; 159(3): 301-08.
  • Urken ML, Weinberg H, Vickery C et al.: The combined sensate radical forearm and iliac crest free flaps for reconstruction of significant glossectomy-mandibulectomy defects. Laryngoscope 1992; 102(5): 543-58.
  • Shpitzer T, Neligan PC, Gullane PJ et al.: The free iliac crest and fibula flaps in vascularized oromandibular reconstruction: comparison and long-term evaluation. Head Neck 1999; 21(7): 639-47.[Crossref][PubMed]
  • Blackwell KE, Buchbinder D, Biller HF et al.: Reconstruction of massive defects in the head and neck: the role of simultaneous distant and regional flaps. Head Neck 1997; 19(7): 620-28.[PubMed][Crossref]
  • Yang KC, Leung JK, Chen JS: Double-paddle peroneal tissue transfer for oromandibular reconstruction. Plast Reconstr Surg 2000; 106(1): 47-55.
  • Wei FC, Yazar S, Lin CH et al.: Double free flaps in head and neck reconstruction. Clin Plast Surg 2005; 32(3): 303-08.[Crossref][PubMed]
  • Kuzon WM Jr, Jejurikar S, Wilkins EG et al.: Double free-flap reconstruction of massive defects involving the lip, chin, and mandible. Microsurgery 1998; 18(6): 372-78.[Crossref]
  • Maciejewski A, Szymczyk C, Wierzgoń J: Zastosowanie zmodyfikowanych, mikronaczyniowych płatów wolnych w rekonstrukcjach po rozległych, złożonych resekcjach nowotworów głowy i szyi - propozycja algorytmu wyboru technik odtwórczych. Pol Przegl Chir 2006; 78: 1350-60.
  • Maciejewski A, Szymczyk C, Wierzgoń J i wsp.: Techniki mikrochirurgiczne w rekonstrukcji poresekcyjnych ubytków żuchwy - propozycja algorytmu. Czas Stomat 2005; LVIII, 7.
Document Type
Publication order reference
YADDA identifier
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.