Results of flap reconstruction: categorisation to reflect outcomes and process in the management of head and neck defects

Br J Oral Maxillofac Surg. 2019 Nov;57(9):935-937. doi: 10.1016/j.bjoms.2019.08.005. Epub 2019 Aug 22.

Abstract

The reporting of the outcomes of flap reconstruction is often based on numerical success rates. Whilst this remains a useful variable with which to measure success, it is limited in its ability to reflect the complex processes involved. The lack of consistency in the categorisation of outcomes of flap reconstruction in the head and neck could potentially lead us to lose the opportunity to fully capture the implications of its success or failure, or both. We propose a classification that moves away from primarily reporting the results of its binary nature, and focuses more on the process of reconstruction, particularly in the head and neck.

Keywords: Reconstruction; flap failure; flap salvage; flap survival.

MeSH terms

  • Head and Neck Neoplasms* / surgery
  • Humans
  • Plastic Surgery Procedures*
  • Retrospective Studies
  • Surgical Flaps