Microvascular Reconstruction

  • Microvascular flap surgery (free tissue transfer) is a technique of transferring a patient’s own tissue from one region of the body to another for purposes of reconstructing defects of the head and neck as a result of tumors, facial trauma or infections
  • The surgeon is able to “auto-transplant” any tissue type including, bone muscle and skin.
  • This type of surgery is often very lengthy and labor intensive due to the need for suturing of blood vessels under an operating microscope
  • Success rates for microvascular surgery are excellent but require close monitoring of the flap blood flow via special Doppler probes (measure the “heartbeat” of the flap) during the post-operative hospitalization
  • Common donor sites selected for head and neck reconstruction include:
    • Fibula (leg bone)
    • Iliac crest (hip bone)
    • Scapula (shoulder blade)
    • Forearm/wrist skin (forearm flap)
    • Thigh skin (thigh flap)
  • Dr. Donita Dyalram and Dr. Joshua Lubek are experts in microvascular reconstructive surgery and perform numerous procedures every year