Background: Free flaps have become the preferred reconstructive approach to restore form and function for patients presenting with complex head and neck defects. For composite, complex defects for which a regular free flap might not meet all reconstructive demands, adequate coverage can be achieved with either a single chimeric free flap or a double free flap.
Methods: We performed a single-center retrospective chart review of patients who underwent either single chimeric free flap or double free flap reconstruction.