Shum Jonathan W, Melville James C, Couey Marcus
Department of Oral and Maxillofacial Surgery, The University of Texas Health Science Center at Houston, 6560 Fannin Street, Suite 1900, Houston, TX 77030, USA.
Department of Oral and Maxillofacial Surgery, The University of Texas Health Science Center at Houston, 6560 Fannin Street, Suite 1900, Houston, TX 77030, USA.
Oral Maxillofac Surg Clin North Am. 2019 Nov;31(4):637-646. doi: 10.1016/j.coms.2019.07.008. Epub 2019 Aug 16.
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.
微血管游离组织移植彻底改变了复杂颌面缺损的重建方式。这些病例通常需要采用双团队协作的方法，由一名切除外科医生在头部操作，另一名重建外科医生在远处部位获取皮瓣。仔细注意受区血管的识别和保留是成功重建的基础。本文描述了头颈部重建中常用动脉和静脉的手术标志、血管处理技术以及游离组织移植受区准备的一般原则。
