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This study assesses the clinical effectiveness of microsurgical free-flap reconstruction in pediatric head and neck defects.

Pediatric Head & Neck Free-Flap Reconstruction Outcomes: Score-Based Effectiveness Assessment

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A retrospective study evaluates clinical effectiveness in pediatric free-flap procedures, suggesting improved reporting standards.

This study assesses the clinical effectiveness of microsurgical free-flap reconstruction in pediatric head and neck defects.
Retrospective evaluation of 54 free-flap procedures in 46 pediatric patients.
Assessment of recipient and donor-site outcomes including swallowing, mastication, breathing, and mouth opening.
Analysis of age as a modifying variable regarding outcomes.
Overall flap survival rate was 76%.
Mean Treatment Effectiveness Score for successful cases was 89.7.
Partial complications occurred in 37% of procedures; donor-site morbidity was 5.6%.
Full functional restoration was achieved in 80.4% of patients.
Age did not significantly affect flap survival or overall treatment effectiveness.

Borowiec et al. (2026) studied this question.

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