Biomaterial Database

Microvascular reconstruction in the head and neck. 1986

J Fisher

With the advent and refinement of microvascular surgical techniques, the results of reconstruction in the head and neck area have been substantially improved. Free flaps can now be moved in one stage for reconstruction of composite tissue in the head and neck area, whereas multiple procedures were often necessary to accomplish such reconstructions in the past. Skin, fat, muscle, bone, and intraoral lining can all be reestablished by using microvascular techniques. Because of the availability of microvascular surgical procedures, defects caused by cancer, congenital anomalies, or acquired disorders can now be reconstructed successfully. This article summarizes the history of microvascular operations and the development of the techniques and equipment; in addition, free tissue transfer reconstruction is compared with traditional techniques. The selection of the appropriate donor tissues and the assessment of patients preoperatively are discussed, and several illustrative case reports are presented.

UI	MeSH Term	Description	Entries
D007583	Jejunum	The middle portion of the SMALL INTESTINE, between DUODENUM and ILEUM. It represents about 2/5 of the remaining portion of the small intestine below duodenum.	Jejunums
D008866	Microsurgery	The performance of surgical procedures with the aid of a microscope.
D008875	Middle Aged	An adult aged 45 - 64 years.	Middle Age
D009132	Muscles	Contractile tissue that produces movement in animals.	Muscle Tissue,Muscle,Muscle Tissues,Tissue, Muscle,Tissues, Muscle
D009333	Neck	The part of a human or animal body connecting the HEAD to the rest of the body.	Necks
D010610	Pharyngeal Neoplasms	Tumors or cancer of the PHARYNX.	Cancer of Pharynx,Pharyngeal Cancer,Cancer of the Pharynx,Neoplasms, Pharyngeal,Neoplasms, Pharynx,Pharnyx Cancer,Pharynx Neoplasms,Cancer, Pharnyx,Cancer, Pharyngeal,Cancers, Pharnyx,Cancers, Pharyngeal,Neoplasm, Pharyngeal,Neoplasm, Pharynx,Pharnyx Cancers,Pharyngeal Cancers,Pharyngeal Neoplasm,Pharynx Cancer,Pharynx Cancers,Pharynx Neoplasm
D001783	Blood Flow Velocity	A value equal to the total volume flow divided by the cross-sectional area of the vascular bed.	Blood Flow Velocities,Flow Velocities, Blood,Flow Velocity, Blood,Velocities, Blood Flow,Velocity, Blood Flow
D004944	Esophagoplasty	A plastic operation on the esophagus. (Dorland, 28th ed)	Esophagoplasties
D005150	Facial Hemiatrophy	A syndrome characterized by slowly progressive unilateral atrophy of facial subcutaneous fat, muscle tissue, skin, cartilage, and bone. The condition typically progresses over a period of 2-10 years and then stabilizes.	Hemifacial Atrophy,Romberg Disease,Facial Hemiatrophy of Romberg,Hemifacial Atrophy, Progressive,Parry-Romberg Disease,Parry-Romberg Syndrome,Progressive Facial Hemiatrophy,Progressive Hemifacial Atrophy,Romberg Hemi-Facial Atrophy,Romberg's Disease,Atrophies, Hemifacial,Atrophies, Progressive Hemifacial,Atrophy, Hemifacial,Atrophy, Progressive Hemifacial,Atrophy, Romberg Hemi-Facial,Disease, Parry-Romberg,Disease, Romberg,Disease, Romberg's,Facial Hemiatrophies,Facial Hemiatrophies, Progressive,Facial Hemiatrophy, Progressive,Hemi-Facial Atrophy, Romberg,Hemiatrophies, Facial,Hemiatrophies, Progressive Facial,Hemiatrophy, Facial,Hemiatrophy, Progressive Facial,Hemifacial Atrophies,Parry Romberg Disease,Parry Romberg Syndrome,Progressive Facial Hemiatrophies,Progressive Hemifacial Atrophies,Romberg Facial Hemiatrophy,Romberg Hemi Facial Atrophy,Rombergs Disease,Syndrome, Parry-Romberg
D005260	Female		Females