Preface

Head and neck reconstruction has evolved to a level where matching the missing components in color, texture, pliability, and function is not only an optimistic goal but very often a realistic one. With the introduction of free tissue transfer and continued improvements in outcomes, this method of reconstruction has become an integral component of the reconstructive algorithm, frequently bypassing many of the preceding steps in the reconstructive ladder. This is made evident to the reader of both the first and second issues of Seminars in Plastic Surgery on “Advances in Head and Neck Reconstruction.” Our understanding of the anatomy of the blood supply to flaps has allowed us to shape and manipulate tissue in a manner that can aid in achieving our final goal. Flap prefabrication and prelamination have taken us a step closer to getting the perfect tissue that can match a given defect. Can tissue engineering provide an adjunct to current, routine methods of reconstruction and hence improve the results even further? This second issue of Seminars supplements the first issue in touching upon the major issues and methods of dealing with defects facing the head and neck reconstructive surgeon. Furthermore, the second issue is a testimony to the vastness of the field of reconstructive head and neck surgery, as an attempt to provide an update on many of the major issues would be difficult in one issue of this size.

We would like to thank Dr. Shenaq, Editor-in-Chief of Seminars in Plastic Surgery, for his invitation to edit these two issues on advances in head and neck reconstruction and for his and his team's invaluable support throughout the process of completing these exciting issues. This type of publication on advances in the field of head and neck reconstruction allows the reader to evaluate the current methods available and the results that can be achieved. It also provides a glimpse into the future of this field. As exciting as these issues are to the surgeon, clearly, the ultimate beneficiaries of the advances in the field of head and neck reconstruction are the unfortunate patients who have succumbed to diseases requiring such measures for reconstruction.