Harvesting of Free Grafts for Head and Neck Surgery

  • Siba P. Dubey
  • Charles P. Molumi
  • Herwig Swoboda


The concave deformity following total parotidectomy is the main source of cosmetic morbidity and postoperative dissatisfaction. Free abdominal fat graft is a safe and effective way to correct this defect. Careful patient selection and proper surgical technique are needed for a satisfactory long-term result.

The fascia lata is the deep fascia of the thigh and extends from the superior margin of the bony pelvis to the knee joint. The fascia is thickest laterally, which is harvested for use as graft. The technique of harvesting fascia lata using a Crawford stripper used to be safe and satisfactory.

The sural nerve is most commonly used for both peripheral and central nerve grafting. It is readily accessible and provides 30–40 cm of usable graft. It results in minimal sensory deficit of the donor area, postoperative scarring, and morbidity.


Parotidectomy Fat graft Neoplasm Surgery Reconstruction Fascia lata Facial palsy Dural repair CSF leak Sural nerve 

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Siba P. Dubey
    • 1
    • 2
  • Charles P. Molumi
    • 3
  • Herwig Swoboda
    • 4
  1. 1.Department of OtolaryngologySchool of Medicine and Health Sciences, University of Papua New GuineaPort Moresby, National Capital DistrictPapua New Guinea
  2. 2.Port Moresby General HospitalPort Moresby, National Capital DistrictPapua New Guinea
  3. 3.Department of OtolaryngologyPort Moresby General HospitalPort Moresby, National Capital DistrictPapua New Guinea
  4. 4.Department of Otorhinolaryngology - Head and Neck SurgeryGeneral Hospital Hietzing with Neurological Center RosenhügelViennaAustria

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