Microvascular reconstruction

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

doi:10.1007/978-1-4614-8341-0_22

Microvascular reconstruction

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

School of Medicine

Research output: Chapter in Book/Report/Conference proceeding › Chapter

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 language	English (US)
Title of host publication	Ferraro's Fundamentals of Maxillofacial Surgery
Publisher	Springer New York
Pages	267-282
Number of pages	16
ISBN (Electronic)	9781461483410
ISBN (Print)	9781461483403
DOIs	https://doi.org/10.1007/978-1-4614-8341-0_22
State	Published - Jan 1 2015

ASJC Scopus subject areas

Medicine(all)

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10.1007/978-1-4614-8341-0_22

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Microvascular reconstruction

Abstract

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