Microvascular free-flaps have changed reconstructive surgery. For patients undergoing maxillomandibular resections, free-flap surgery, especially use of the osseocutaneous fibula free-flap (FFF) has dramatically altered the ability to provide patients with…

Facial paralysis severely impacts a person’s ability to interact with the world. Advances in microsurgery, especially free neurotized muscle transfers, have greatly improved reanimation outcomes. The gracilis free muscle transfer,…

Free tissue transfer is a very effective reconstructive technique for challenging defects of the head and neck and in many cases the gold standard for congenital facial paralyses and composite…

Preservation techniques have become more popular recently, in part due to the benefits of preserving normal nasal anatomy. There are preservation techniques that can be used to perform augmentation of…

This article describes the background and importance of scalp reconstruction. The relevant anatomy and neurovasculature will be discussed. Finally, the entire reconstructive ladder will be examined in its relation to…

Donor site morbidity has become a major focus in free tissue transfer as flap success rates have approached 98%. Emphasis is placed on minimizing the morbidity and optimizing cosmetic and…

Enhanced recovery after surgery (ERAS) protocols facilitates a standardized patient care regimen with a goal of reducing the metabolic stress of surgery. Adapted to head and neck free flap reconstructive…

The complexity of the midface structure and its importance to a multitude of functions present the reconstructive surgeon with unique challenges. The midface is an area that is crucial both…