FREE FLAPS FOR HEAD-AND-NECK RECONSTRUCTION: RETROSPECTIVE ANALYSIS OF A SINGLE-CENTRE EXPERIENCE

Abstract

Objectives. We analysed the results of free-flap surgery in the head-and-neck area performed in a tertiary-care Italian hospital; we focus on the evolution of our approach toward bony reconstructions. Methods. We retrospectively studied all patients who underwent free-flap reconstructive surgery in our institution from April 2010 to June 2018. Flap harvesting, disease aetiology, defect site, success and complication rates, demographic data, and comorbidities were analysed. Results. A total of 134 free flaps was harvested in 127 patients. Fibular and radial forearm flaps were the most commonly used (45.5 and 26.1%, respectively). The overall free flap placement success rate was 96% and the complication rate was 16.4%. Conclusion. Free tissue transfer has become a safe and reliable means of repairing soft tissue and bony defects of the head-and-neck region. Tailored surgery optimises outcomes and patient satisfaction.