Preparation of the Neck for Advanced Flap Reconstruction

Jonathan Shum, James C. Melville, Marcus Couey

Research output: Contribution to journalReview article

Abstract

Microvascular free tissue transfer has revolutionized the reconstruction of complex maxillofacial defects. These cases often necessitate a 2-teamed approach, with an ablative surgeon at the head and a reconstructive surgeon at a distant site for flap harvest. Careful attention to recipient vessel identification and preservation establishes the foundation for successful reconstruction. This article describes the surgical landmarks of the frequently utilized arteries and veins, vessel handling techniques, and general principles for the preparation of free tissue transfer recipient sites in head and neck reconstruction.

Original languageEnglish (US)
Pages (from-to)637-646
Number of pages10
JournalOral and Maxillofacial Surgery Clinics of North America
Volume31
Issue number4
DOIs
StatePublished - Nov 1 2019

Keywords

  • Microvascular reconstruction
  • Microvascular surgery
  • Neck dissection
  • Surgical technique
  • Vessel exploration

ASJC Scopus subject areas

  • Surgery
  • Oral Surgery
  • Otorhinolaryngology

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