# Application of flap economics in head and neck reconstruction

## TL;DR

This study examines the use of Kiss flap techniques in head and neck cancer reconstruction, finding that flap economics helps optimize outcomes through personalized flap selection.

## Contribution

The paper evaluates classic and non-classic Kiss flap methods in head and neck reconstruction through the lens of flap economics.

## Key findings

- Seventy percent of patients showed good postoperative healing with Kiss flap reconstruction.
- Anterolateral thigh (ALT) flaps had the lowest complication rate (21%) compared to other flap types.
- Flap economics supports personalized flap selection for better resource optimization and outcomes.

## Abstract

The Kiss flap technique, aligned with flap economics, has gained traction in head and neck cancer reconstruction. This study evaluates “classic” and “non-classic” Kiss flap methods and explores flap economics principles.

We retrospectively analyzed 50 patients undergoing head and neck cancer surgery with Kiss flap reconstruction between January 2016 and May 2023.

Patients (34 males, 16 females; mean age 53) were categorized into “classic” (n = 27) and “non-classic” (n = 23) groups. Seventy percent exhibited good postoperative healing. The anterolateral thigh (ALT) flaps showed the highest stability and lowest complication rate (21 %), followed by radial forearm free flap (RFFF) (30 %), pectoralis major myocutaneous flap (PMMF) (46 %), and Fibula (50 %).

Both Kiss flap techniques represent viable alternative options for head and neck reconstruction in complicated cases. ALT flaps offer superior stability. Flap economics aids in resource optimization, emphasizing personalized flap selection for optimal outcomes.