Grafts and Flaps in H&N Surgery

7.7.1 Discuss the stages involved in the survival of a split thickness graft.

7.7.2 How are skin grafts (full and split thickness) harvested? What is the point of meshing?

7.7.3 How will you manage the donor site in a split thickness graft?

7.7.4 Help us understand random vs. axial pattern grafts. Give examples of each in the head and neck.

7.7.5 Discuss transposition, advancement, rotation and interpolation flaps.

7.7.6 What is the safe length to width ratio of a flap? How does perfusion pressure affect flap viability?

7.7.7 What is a Burow's triangle?

7.7.8 Describe some common regional flaps used in head and neck reconstruction. Give the blood supply for each.

7.7.09 How do you plan a classic bilobed flap? How do you avoid pin cushioning?

Iida N, Ohsumi N, Tonegawa M, Tsutsumi K. Simple method of designing a bilobed flap. Plast Reconstr Surg. 1999 Aug;104(2):495-9. PMID:10654696

7.7.10 You excise a melanoma that is located at nasolabial fold. What are your reconstructive options?

7.7.11 Are nasolabial flaps random or axial?

7.7.12 A patient presents after resection of a basal cell carcinoma near the medial canthus. The defect is 5mm. Discuss reconstructive options.

7.7.13 You decide to perform a paramedian forehead flap to reconstruct a nasal tip defect. Discuss the stages involved in this process. What is the blood supply?