Department of Otolaryngology- Head and Neck Surgery, Case Western Reserve University School of Medicine, Cleveland, OH, USA; Ear Nose and Throat Institute, University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
Department of Otolaryngology- Head and Neck Surgery, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Facial Plast Surg Clin North Am. 2025 Feb;33(1):47-55. doi: 10.1016/j.fsc.2024.07.007. Epub 2024 Aug 30.
Microvascular free tissue transfer in head and neck surgery has evolved through technological advancements, focusing on enhancing surgical outcomes and reducing complications. The strategic process involves preoperative planning for perforator mapping, intraoperative devices for microvascular anastomoses and patient positioning, and innovative postoperative monitoring techniques ensuring flap viability. This workflow has led to a high flap success rate, although revision surgery can still be necessary. This article aims to explore recent advances in microvascular free tissue transfer technology utilized across the preoperative, intraoperative, and postoperative domains for enhanced surgical efficacy.
头颈部外科中的游离微血管组织移植技术通过技术进步得到了发展,重点是提高手术效果和降低并发症。这一策略性的流程包括术前穿支定位规划、术中用于微血管吻合和患者体位的器械,以及创新的术后监测技术以确保皮瓣存活。这一工作流程带来了高皮瓣成活率,但仍可能需要进行修正手术。本文旨在探讨游离微血管组织移植技术在术前、术中和术后领域的最新进展,以提高手术效果。