Salvage surgery for free flap failure in the maxillofacial region: a comprehensive review of principles and outcomes
Ziad Albash, Wajih Kashkash, Anton Sergeevich Sharapo, Zaderenko Igor Alexandrovich, Ushenko Ilya Aleksandrovich, Saltykov Egor Michaylovich, Hassan Alsayed Hachem · 2026
Read Salvage surgery for free flap failure in the maxillofacial region: a comprehensive review of principles and outcomes by Ziad Albash, Wajih Kashkash, Anton Sergeevich Sharapo, Zaderenko Igor Alexandrovich, Ushenko Ilya Aleksandrovich, Saltykov Egor Michaylovich, Hassan Alsayed Hachem (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/PMC13461088.txt.
Description
Ziad Albash and a team of co-authors review in 2026 how surgeons salvage reconstruction when a free flap fails in the face and jaw region. Free tissue transfer succeeds ninety to ninety-five percent of the time. Yet failure in roughly two to six percent of cases creates an emergency, most often from a vein clot within the first two days. Their narrative review spans studies from 2000 to 2024 and separates rescuing a dying flap from rebuilding after one is lost.
Options run from a second free flap, succeeding in about two thirds of attempts, to pedicled flaps swung from the chest or prosthetic rehabilitation. Stable patients do best with immediate salvage, while fragile patients suit a staged approach using vacuum wound therapy as a bridge. Decisions weigh the patient, the defect, cancer plans, and local resources.
Catalog record
| CREATOR | Ziad Albash, Wajih Kashkash, Anton Sergeevich Sharapo, Zaderenko Igor Alexandrovich, Ushenko Ilya Aleksandrovich, Saltykov Egor Michaylovich, Hassan Alsayed Hachem |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 70028 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |