الفهرس 
? AIM OF THE WORKOnly 14 pages are availabe for public view
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Abstract
Our results and review of the literature indicate that free
microvascular flap reconstruction procedures can be carried out safely but
all perioperative conditions should be well known and controlled putting
in mind that medical comorbidities, preoperative radiotherapy, tumor
stage and tumor sites are important determinants in complications
development and we should expect and be ready to deal with the
complications in the presence of these adverse factors.
In the light of our results in which we couldn’t find significant
differences between the three flap types in oral reconstruction, reviewing
the publications about the functional evaluation of free microvascular
flaps in oral reconstruction and the known fact about the difficulty of
ALT flap harvest, we can conclude that RFFF and UFFF should be
considered first for use in oral reconstruction and ALT flap to be spared
for larger oral cavity defects and contraindications to forearm flaps.
In hypopharyngeal reconstruction, in the light of our results which
showed lower postoperative complications and higher flap survival rate
of the RFFF and supported by literature review “except for better donor
site morbidity of ALT over RFFF” and the review of other articles which
showed better esophageal speech with fasciocutaneous free flaps and no
advantage of Jejunum flaps regarding swallowing, we consider the RFFF
“putting in mind the technical difficulty of ALT flap harvesting” to be
our first choice for hypopharyngeal reconstruction.