Technology in Microvascular Surgery

Alessandro Cusano, Rui Fernandes

Research output: Contribution to journalReview articlepeer-review

9 Scopus citations


With the refinement of microvascular technique, free-tissue transfer has emerged as the standard of care in head and neck reconstruction. Success rates and reductions in operative time have reduced "flap take" from being the marker of reconstructive success to being an expectation. Interest has now shifted to improvement of technique, with surgeons placing increasing importance on donor site morbidity, quality of tissue harvested, and esthetic and functional outcomes. Much of the recent success can be attributed to technological advance through improvement in instrumentation and technique and enhancement of the understanding of flap physiology and anatomy. This article reviews some of the recent advances and how they have affected microvascular surgery from preoperative, operative, and postoperative standpoints.

Original languageEnglish (US)
Pages (from-to)73-90
Number of pages18
JournalOral and Maxillofacial Surgery Clinics of North America
Issue number1
StatePublished - Feb 2010


  • Free-tissue transfer
  • Microvascular surgery

ASJC Scopus subject areas

  • Surgery
  • Oral Surgery
  • Otorhinolaryngology


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