2006 Volume 32 Issue 3 Pages 241-246
The role of the Plastic surgeon in head and neck reconstruction involves reconstruction after ablative surgery and secondary revision. In addition, donor site closure after flap harvest is performed by the plastic surgeon during microsurgery and flap suture in most cases. Details of donor site closure have rarely been reported. In this paper, we describe a device for donor site closure in head and neck reconstruction using primary closure, skin grafts and local flap. In many cases, secondary revision after reconstruction is required. Plastic surgery techniques are very useful in this situation. Techniques used for secondary revision include: 1) scar revision, 2) local flaps, 3) dermal fat graft, 4) liposuction, 5) lipoinjection, 6) free flap and so on. It is very important to choose adequate reconstruction methods to improve the better QOL of patients.
