Semin Plast Surg 2023; 37(01): 073-082
DOI: 10.1055/s-0042-1760444
Review Article

Flap Debulking and Secondary Revisions in Head and Neck Reconstruction: A Systematic Review with Clinical Applications

Olatunde H. Bashorun
1   Department of Plastic and Reconstructive Surgery, Miami Valley Hospital, Wright State University Boonshoft School of Medicine, Dayton, Ohio
,
R. Michael Johnson
1   Department of Plastic and Reconstructive Surgery, Miami Valley Hospital, Wright State University Boonshoft School of Medicine, Dayton, Ohio
,
Elise A. Johnson
2   Department of Plastic and Reconstructive Surgery, Miami Valley Hospital, Wright State University Boonshoft School of Medicine, Ross University Medical School, Bridgetown, Barbados
› Author Affiliations
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Abstract

Flap debulking and secondary revisions are an integral factor in providing optimum outcomes to reconstructive patients. This review article summarizes systematically the available literature on flap debulking in head and neck reconstruction. The clinical applications of debulking techniques are discussed, including fractional direct excision, liposuction, and single-stage excision or planning with skin grafting. New technologies are also discussed.



Publication History

Article published online:
09 February 2023

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