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June 1989

Free Omental Reconstruction of Complicated Head and Neck Wounds

Author Affiliations

Hanover, NH

Arch Otolaryngol Head Neck Surg. 1989;115(6):663. doi:10.1001/archotol.1989.01860300017005

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At the 92nd annual meeting of the American Academy of Otolaryngology–Head and Neck Surgery in Washington, DC, September 29, 1988, William R. Panje and coworkers, University of Chicago (Ill) Pritzker School of Medicine, reported the use of free omental grafts with microvascular anastomoses for the reconstruction of complicated head and neck wounds. These workers described the use of this technique in 13 patients. The omentum was used with and without an attached segment of stomach wall. The procedure was completely successful in 11 of 13 cases. There were two partial flap failures and no total flap failures. A complicated wound was defined as one in which there was a severe deficiency of tissue in an irradiated or contaminated area.

Dr Panje and colleagues described the following characteristics of omentum that make it a successful reconstructive tool: (1) plasticity, with the capacity to conform to irregular surfaces and borders of wounds;

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