Controversies in Microvascular Maxillofacial Reconstruction

Adam P. Fagin, Daniel Petrisor

Research output: Contribution to journalReview article

Abstract

The effectiveness and reliability of microvascular reconstruction for large defects in the head and neck is no longer disputed. However, many controversies still persist in the ideal perioperative management of patients undergoing free tissue transfer. The optimal method of postoperative monitoring, the use of vasoconstrictors in the perioperative period, and the use of anticoagulants in the postoperative period remain topics of debate. This article offers recommendations on each of these controversies based on a review of the current literature.

Original languageEnglish (US)
Pages (from-to)415-424
Number of pages10
JournalOral and Maxillofacial Surgery Clinics of North America
Volume29
Issue number4
DOIs
StatePublished - Nov 1 2017

Keywords

  • Anticoagulant
  • Implantable Doppler
  • Microvascular
  • Postoperative monitoring
  • Vasoconstrictor

ASJC Scopus subject areas

  • Surgery
  • Oral Surgery
  • Otorhinolaryngology

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