Reconstruction using facial artery system-based flaps. One vascular system for multiple purposes in head and neck reconstructive surgery

Abstract

Introduction: to review the modifications and advances in reconstructive surgery of the soft tissues of the oral cavity exclusively based on flaps that depend on the facial artery system.

Methods: review of the literature regarding oral cavity reconstructions based on main facial artery system flaps.

Discussion: The reconstruction of the soft tissues of the oral cavity, based on facial artery system flaps, offers satisfactory results and allows limited reconstructions avoiding the use of pedicled regional flaps or free flaps.

Conclusions: Knowledge of reconstructive options using the facial artery system in oral cavity surgery allows expanding reconstructive options for head and neck surgeons, enabling safe, high quality and effective reconstructions, with limited resources consumption.

Keywords: Boca; Cavidad oral; Colgajos en isla; Colgajos quirúrgicos; Cáncer oral; Head and neck reconstruction; Island flaps; Mouth; Oral cancer; Oral cavity; Procedimientos reconstructivos quirúrgicos; Reconstrucción de cabeza y cuello; Reconstructive surgical procedures; Surgical flaps.