Hanasono MM

Extensive and 3-dimensionally complex defects require free flap reconstruction with multiple tissue types. This has traditionally been accomplished with 2 or more free flaps. Recent advancement in perforator anatomy and perforator flaps has…

[BACKGROUND] We present our experience with free flap reconstruction of the anterior skull base (SB), focusing on complex composite defects in patients undergoing multimodality therapy for SB tumors. [METHODS] Outcomes of patients undergoi…

[BACKGROUND] Reconstruction of the midface after maxillectomy is extremely challenging because of the need to reestablish the contour of the midface, maintain oronasal separation, support the orbit, and to restore the dentition. In this stu…

[BACKGROUND] Flow-through flaps (FTFs) are an advanced technique in which a free flap is anastomosed to the pedicle of another free flap to reconstruct extensive head and neck defects when recipient vessels are scarce. [METHODS] A multi-in…

[BACKGROUND] Multiple simultaneous free flap reconstructions for extensive head and neck defects in vessel-depleted necks are extremely challenging. The "Orochi" flap, described by Koshima, in which one or more secondary free flaps are anas…

[OBJECTIVE] Examine outcomes for lateral arm autologous tissue transfer in head and neck reconstruction. [STUDY DESIGN] Retrospective cohort study. [SETTING] Tertiary cancer center. [METHODS] All patients who underwent traditional latera…

[INTRODUCTION] Osteoradionecrosis (ORN) of the mandible is an unfortunate potential sequela of radiotherapy for head and neck cancer. In advanced cases of ORN, mandibulectomy, and free fibula flap reconstruction are required. We hypothesize…

[BACKGROUND] Machine learning has been increasingly used for surgical outcome prediction, yet applications in head and neck reconstruction are not well-described. In this study, we developed and evaluated the performance of ML algorithms in…

[BACKGROUND] Despite increasing recognition, obesity continues to represent a major health issue for millions of people in the USA and worldwide. There is a paucity in the literature regarding the effect of body mass index (BMI) on microsur…

[INTRODUCTION] Tumors involving the lacrimal drainage apparatus can be effectively treated with oncologic eye-sparing resection, immediate reconstruction, and adjuvant radiation. The extirpative technique is well described, whereas the reco…

[BACKGROUND] Immunotherapy agents are used to treat advanced head and neck lesions. We aim to elucidate relationship between immunotherapy and surgical wound complications. [METHODS] Retrospective multi-institutional case series evaluating…

[BACKGROUND] Although the profunda artery perforator flap has gained popularity in breast reconstruction, it has not been well described for reconstruction of head and neck defects. The authors report their experience with free profunda art…

Traditionally, surgical access for extirpation and reconstruction of midfacial tumors requires external incisions that can cause a myriad of complications, especially in irradiated patients. The modern midfacial degloving approach involves …

[BACKGROUND] We aim to define a set of terms for common free flap complications with evidence-based descriptions. [METHODS] Clinical consensus surveys were conducted among a panel of head and neck/reconstructive surgeons (N = 11). A conten…

[INTRODUCTION] Maxillary cancer is relatively rare but devastating for those affected with the disease. For patients who require suprastructural or total maxillectomy for oncologic resection, the resection of the orbital floor can be challe…

[BACKGROUND] Patients with breast cancer-related lymphedema can be treated with a simultaneous deep inferior epigastric perforator (DIEP) flap, vascularized inguinal lymph node transfer, and lymphovenous anastomosis for aesthetic breast rec…

[PURPOSE] Our objective was to understand which variables are associated with hematoma formation at both the donor and recipient sites in head and neck free tissue transfer and if hematoma rates are affected by tourniquet use. [METHODS] Pa…

[LEARNING OBJECTIVES] Identify factors associated with skin graft take in fibula free flaps (FFF) and radial forearm free flaps (RFFF) donor sites. [STUDY OBJECTIVES] To determine which factors are associated with decreased skin graft take…

[BACKGROUND] Postoperative hematoma and venous congestion after free tissue transfer may occur independently or concurrently. We aimed to explore the association between these two events. [METHODS] All free flap reconstructions for head an…

[BACKGROUND] Skull base osteoradionecrosis (ORN) is a challenging treatment-related complication sometimes seen in patients with cancer. Although ORN management strategies for other anatomic sites have been reported, there is a paucity of d…

[BACKGROUND] Postoperative complications are an independent predictor of poor survival across several tumors. However, there is limited literature on the association between postoperative morbidity and long-term survival following total lar…

[PURPOSE] Resection of skull base malignancies that would have been associated with unacceptable morbidity and mortality in the past are now performed with reliable results due in large part to advancements in reconstructive surgery. The go…