Recipient Vessels: Laryngopharynx Reconstruction

Identifying reliable recipient vessels for free flap reconstruction of the laryngopharynx is critical and can often be challenging. This chapter provides a comprehensive analysis of local vascular anatomy and aims to assist with appropriate vessel selection for microvascular anastomosis. As with most head and neck free flap reconstructions, the external carotid artery system is commonly used for arterial inflow, while the external and internal jugular systems are commonly used for venous outflow. The transverse cervical vessels are excellent alternatives and may be preferred to tedious dissection in the irradiated and previously operated neck. Occasionally, the reconstructive surgeon may have to use recipient vessels outside the neck region, when local recipient vessels are absent or inadequate.