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Year : 2016  |  Volume : 6  |  Issue : 2  |  Page : 65-73

Microvascular anastomosis in oral and maxillofacial surgery

1 Department of Oral and Maxillofacial Surgery, IDST, Modinagar, Uttar Pradesh, India
2 Department of Oral and Maxillofacial Surgery, Teerthankar Dental College, Moradabad, Uttar Pradesh, India

Correspondence Address:
Farhana Girkar
Building No. 1, B/109, Humera Park, Pathanwadi, Malad (East), Mumbai - 400 097
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2278-9596.194980

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In maxillofacial surgery, head and neck reconstruction of surgical defects caused by oral cancer is considered a challenging problem. Till recently, most oral and pharyngeal defects were closed primarily using skin flaps or tubed-pedicle flaps of skin from the trunk such as forehead flap, deltopectoral flap, pectoralis major myocutaneous flap; however, these were associated with compromised aesthetic and functional results. The advent of microvascular free tissue transfer over the past two decades has helped us overcome these disadvantages and has enabled the ablative surgeon to undertake surgical procedures that could not have been attempted in the past. Innovations in the field of microsurgery have resulted in better techniques, microscopes, and microinstruments, which have made free flap harvesting much easier. This article will review the various techniques of microvascular anastomosis used in head and neck reconstruction and analyze the newer techniques and methods employed today. It also attempts to provide a brief gist of the various free flaps used in head and neck reconstruction and the ones most expedient in the surgeons' arsenal.

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