title: Regional flaps: a move to simpler reconstructive options in the head and neck.
abstract: OBJECTIVE
  The use of regional flaps in head and neck reconstruction is experiencing a resurgence. This review surveys the growing body of clinical evidence supporting these techniques.
  
  
  RESULTS
  The supraclavicular flap and submental island flap are two regional flaps that provide thin pliable tissue for head and neck reconstruction. The submental island flap has been demonstrated to be oncologically safe in the setting of oral cavity malignancy in patients without clinical level I disease. For moderate mucosal defects, the facial artery myomucosal flap and palatal island flap provide regional options for reconstruction with minimal donor-site morbidity. The pectoralis major and latissimus dorsi flap remain excellent options in patients medically unsuitable for a free flap, salvage reconstructions, vessel depleted necks and when the defect is able to accommodate the bulk of the flap.
  
  
  CONCLUSIONS
  Regional flaps continue to evolve and remain an integral part of a reconstructive surgeon's armamentarium. A working knowledge of these techniques is integral to maximizing outcomes for head and neck reconstructions, while minimizing morbidities and cost.
authors.affiliation: Department of Otolaryngology Head and Neck Surgery, Mayo Clinic Arizona, Phoenix, Arizona, USA.
authors.forename: Matthew H
authors.initials: MH
authors.lastname: Rigby
authors.forename: Richard E
authors.initials: RE
authors.lastname: Hayden
mesh_terms: D006259:Craniocerebral Trauma / Q000601:surgery*; D006801:Humans; D019838:Neck Injuries / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply; D020858:Tissue and Organ Harvesting