Reconstructive head and neck surgery requires the amalgamation of core surgical skills spanning several surgical disciplines. The intersection of otolaryngology, plastic surgery, orthopaedic surgery, oral surgery, neurosurgery, and vascular surgery has given rise to the principles that underscore this unique surgical subspecialty. The proficiency and broad training of these reconstructive surgeons have led to a plethora of reparative techniques leveraged and applied in this unique anatomic region. Delicately addressing components that define, if not personify, the human experience, reconstructive surgeons seek to restore form and function.

However, restoration in the head and neck is fraught with challenges and a propensity for complications. From the compromise of speech and swallow function to the separation of sub-sites, adversity is routinely encountered in the management of a seemingly impossible agenda. This complex milieu gives rise to the aptitude, resilience, creativity, and grit that define the core characteristics of the head and neck reconstructive surgeon.

In this unique issue of Seminars in Plastics Surgery, we present a variety of complications encountered in reconstructive head and neck surgery. Drawing on the experience of masters in the field, we seek to provide our readers with an in-depth exploration of the myriad considerations surrounding these complications, as well as the guidance needed for navigating them. An honest appraisal of these complications may provide the best platform for lifelong learning, for it is in these challenges that we elucidate the imperfections and uncertainties of our craft.

Article published online:
09 February 2023

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