Preparation of the Neck for Advanced Flap Reconstruction.
Publication Title
Oral Maxillofac Surg Clin North Am
Document Type
Article
Publication Date
11-1-2019
Keywords
Arteries; Free Tissue Flaps; Head and Neck Neoplasms; Humans; Microsurgery; Neck; Neck Dissection; Reconstructive Surgical Procedures; Surgical Flaps
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.
Specialty/Research Institute
Surgery
