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Microvascular Reconstruction

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

Keywords

Free Flap Ulnar Artery Lateral Femoral Cutaneous Nerve Free Tissue Transfer Peroneal Artery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Abbreviations

ALT

Anterolateral thigh

ASIS

Anterior superior iliac spine

CT

Computed tomography

DCIA

Deep circumflex iliac artery

PSIS

Posterior superior iliac spine

SCIA

Superficial circumflex iliac artery

SCIV

Superficial circumflex iliac vein

SIEA

Superficial inferior epigastric artery

SIEV

Superficial inferior epigastric vein

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Emile N. Brown
    • 1
  • Mark Fisher
    • 1
  • Eduardo D. Rodriguez
    • 1
  1. 1.Division of Plastic and Reconstructive SurgeryUniversity of Maryland R Adams Cowley Shock Trauma CenterBaltimoreUSA

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