Introduction
thrombosis, head and neck surgeon, vasospasm
THROMBOSIS, VASOSPASM
Advanced oncologic defects of the midface and scalp are a signiﬁcant challenge to the reconstructive head and neck surgeon, who must consider the need for midfacial projection, rehabilitation, and function restoration. Soft free tissue flaps, such as anterolateral thigh flaps, The superﬁcial temporal vessels have been shown to have comparable diameters to the cervical vessels, with increased proximity to defects in the midface and scalp. Yet, because of their variable diameter and tortuous anatomy, these vessels have been considered to be at risk for postoperative vasospasm and thrombosis, and its use has been restricted to selected cases.