Reconstructive Surgery of the Head and Neck: A Four-Year Experience in an Otolaryngology Department in South America

Abstract

Introduction: Reconstructive surgery in head and neck is challenging due to both the complexity of the location to be reconstructed and the postoperative management to achieve successful results. Objective: To analyze the experience of a reconstructive team in otolaryngology - head and neck surgery during a 4-year period. Materials and Me­thods: A retrospective clinical series was carried out by analyzing the medical charts of patients in need of reconstruction in the head and neck region using regional and free microvascular flaps between 2021 and 2025. Results: During the period analyzed, 105 flaps were performed for reconstruction in the head and neck region. Of these, 68 were pedicled regional flaps, with a success rate of 97.1%; and 37 were microvascular free flaps, with a success rate of 94.6%. Two major adverse events were reported. Discussion: Our results are similar to those reported in the literature, with a low rate of adverse events. Despite the global trend toward microvascular flap reconstruction, there are re­gional options that can offer reconstruction with similar success rates and good function that should be considered. Conclusion: Reconstructive surgery is a complex field that requires not only adequate training but also the integration of related teams to improve surgical outcomes. It is important to have a broad surgical armamentarium when trea­ting these types of patients.