Vastus lateralis muscle-only free flap: defining its role in head and neck reconstruction.

OBJECTIVE

To review the anatomy, indications, technique, advantages, and limitations of vastus lateralis muscle-only free tissue transfer for reconstruction of head and neck defects following tumour ablation.

DESIGN

A single-centre retrospective chart review was undertaken.

METHODS

Patients undergoing free tissue transfer of the vastus lateralis muscle for reconstruction of head and neck defects between May 1, 2003, and April 30, 2006, were identified. Demographic data, surgical details, outcome, and complications were determined.

RESULTS

Nine patients were identified. A variety of tumour types and sites were treated. Three suffered flap-related complications consisting of distal flap vascular compromise.

CONCLUSIONS

The vastus lateralis muscle-only free flap has numerous advantages, including versatility, ease of harvest, and ability to perform a two-team operation. There are also some limitations, including variable anatomy and tenuous distal circulation. Judicious use of this free flap in noncritical areas is preferable.