The Triangle of Unfavorable Outcomes After Microsurgical Head and Neck Reconstruction: Planning, Design, and Execution.
Analysis of unfavorable results in microsurgical head and neck reconstruction beyond free flap survival is the goal of this article. Unfavorable outcome is the result of poor or inadequate planning, design, and execution. A triangular relationship between the 3 corners of a microsurgical reconstruction-plan, design, and execution-is suggested to govern the unfavorable outcome after a surviving free flap. This article shares the authors' philosophy and strategies to avoid untoward outcomes. Cases studies and the authors' surgery dynamics are provided to simplify the message.
Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, Chang Gung University, 199 Tun-Hwa North Road, Taipei 10591, Taiwan. Electronic address: fuchanwei@gmail.com.
Fu-Chan
FC
Wei
Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, Chang Gung University, 199 Tun-Hwa North Road, Taipei 10591, Taiwan.
Nidal Farhan
NF
Al Deek
Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, Chang Gung University, 199 Tun-Hwa North Road, Taipei 10591, Taiwan.
Ming-Huei
MH
Cheng
Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, Chang Gung University, 199 Tun-Hwa North Road, Taipei 10591, Taiwan.
Chih-Hung
CH
Lin
D006257:Head / Q000601:surgery; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D008866:Microsurgery; D009333:Neck / Q000601:surgery; D011183:Postoperative Complications / Q000601:surgery; D011300:Preoperative Care; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods; D013524:Surgical Flaps / Q000098:blood supply; D016896:Treatment Outcome; D014947:Wounds and Injuries / Q000209:etiology / Q000601:surgery*
Failure; Head and neck reconstruction; Microsurgical reconstruction; Quality of life; Unfavorable results