Free Flap Reconstruction of the Oropharynx

Several recent technological and surgical advancements including TORS have allowed for more extensive resection of locally advanced oropharyngeal cancers while allowing deescalation of adjuvant therapy. Reconstruction with free tissue provides adequate approximation of the native oropharyngeal anatomy in the majority, contributing to favorable speech and swallow function, and subsequently, patient satisfaction and quality of life. Numerous free flap reconstructive options exist, allowing surgeons to repair defects of a variety of sizes and configurations. Postoperative complications including reoperation and wound infection are not uncommon; however, several recent studies have identified patient populations that may be predisposed to greater complication rates. Future studies attempting to obtain quantitative functional outcome measurements or provide greater standardization of postoperative care may lead to greater rates of successful reconstruction and avoidance of complications.