Journal of Leukaemia & Lymphoma Research

Neck Reconstruction

Advances in head and neck reconstruction have resulted in improved outcomes with single-stage repair of defects starting from intraoral to pharyngoesophageal to skull base defects. Key to success of surgery is selecting an appropriate reconstructive option supported the patient's wishes and fitness for operation . Where possible, free tissue transfer provides the simplest functional and aesthetic outcomes for the overwhelming majority of defects. during this article, we present an algorithm to guide choice of flap selection and review principles of reconstruction and secondary surgery for head and neck defects. Reconstruction of defects within the head and neck poses a singular challenge. Unlike other areas of the body, which can once in a while be temporized by dressing changes or maybe allowed to heal by secondary intention without major complications, immediate or early closure of head and neck defects is significant for several reasons. Maintaining the integrity of the alimentary canal , and intrinsically the patient's ability to eat, is a problem of paramount importance. Reconstruction of the face is important for an individual to speak through countenance . Last but not least, coverage of the neck and maintenance of an intact intraoral seal prevents life-threatening complications like blowout of the good vessels of the neck.  

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