Microvascular reconstruction

Emile N. Brown, Mark Fisher, Eduardo D. Rodriguez

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Aesthetic and functional outcomes after microsurgical reconstruction of the maxillofacial region are of utmost importance. The purpose of this chapter is to outline a list of critical concepts for this type of reconstruction developed over the past decade at our high-volume trauma center: (1) aesthetic unit appearance, (2) defect boundaries, (3) tissue requirements, (4) provision of vascularized skeletal buttress framework, (5) ample soft tissue volume, (6) early reconstruction, and (7) local revisional cutaneous replacement through multistage planning. The free flaps most commonly used for maxillofacial reconstruction at our institution are discussed, outlining their history, anatomy, surgical techniques for harvest, and advantages/disadvantages. The flaps described include the ulnar forearm flap, anterolateral thigh flap, groin flap, deep circumflex iliac artery flap, and fibula flap.

Original languageEnglish (US)
Title of host publicationFerraro's Fundamentals of Maxillofacial Surgery
PublisherSpringer New York
Pages267-282
Number of pages16
ISBN (Electronic)9781461483410
ISBN (Print)9781461483403
DOIs
StatePublished - Jan 1 2015

ASJC Scopus subject areas

  • Medicine(all)

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    Brown, E. N., Fisher, M., & Rodriguez, E. D. (2015). Microvascular reconstruction. In Ferraro's Fundamentals of Maxillofacial Surgery (pp. 267-282). Springer New York. https://doi.org/10.1007/978-1-4614-8341-0_22