Free Flap Reconstruction of the Oropharynx

Facial Plast Surg Clin North Am. 2025 Feb;33(1):77-84. doi: 10.1016/j.fsc.2024.07.005. Epub 2024 Aug 23.

Abstract

Reconstruction of the oropharynx plays a critical role in preserving quality of life after surgical resection of oropharyngeal carcinoma. Free tissue is one of several reconstructive options, which can closely approximate native oropharyngeal anatomy and lead to favorable functional outcomes in carefully selected patients. Here, the authors provide an overview of the indications, treatment options, functional outcomes, potential complications, and future considerations for free flap reconstruction of the oropharynx.

Keywords: Anterolateral thigh; Free flap; Microvascular; Oropharynx; Radial forearm; Reconstruction.

Publication types

  • Review

MeSH terms

  • Free Tissue Flaps*
  • Humans
  • Oropharyngeal Neoplasms* / surgery
  • Oropharynx* / surgery
  • Plastic Surgery Procedures* / methods