title: Advanced applications of revascularized free jejunal flaps for difficult wounds of the head and neck.
abstract: The rationale, technique, and an example of full utilization of the jejunomesenteric free flap have been described as a means of reconstructing complex wounds of the head and neck. Not only jejunum, but also well-vascularized mesentery will protect vascular structures and intestinal anastomoses and, in addition, accept a skin graft. No additional muscular or other flaps are necessary to achieve these ends. Finally, no additional donor-site morbidity is incurred by harvesting the supplementary mesentery.
mesh_terms: D006259:Craniocerebral Trauma / Q000601:surgery*; D005402:Fistula / Q000601:surgery; D006801:Humans; D007583:Jejunum / Q000098:blood supply / Q000637:transplantation*; D008297:Male; D008722:Methods; D008875:Middle Aged; D009333:Neck; D010608:Pharyngeal Diseases / Q000601:surgery; D011183:Postoperative Complications / Q000601:surgery; D012871:Skin Diseases / Q000601:surgery; D013524:Surgical Flaps