The application of microvascular free-tissue transfer
has revolutionized the postablative and post-traumatic reconstruction of the head and neck region.
The other patient, a 62-year-old man, underwent reconstruction of a similar defect via radial forearm free-tissue transfer
. The flap was evaluated 4 days postoperatively by TNE because of excessive edema noted in the cervical skin flaps.
The radial forearm fasciocutaneous free-tissue transfer
was popularized by Soutar et al in 1983 for oral cavity reconstruction.
Experience with 80 rectus abdominis free-tissue transfers
. Plast Reconstr Surg 1989;83(3):481-7.
Therefore, medicinal leeches are used to salvage compromised microvascular free-tissue transfers
, replanted digits, ears, lips, and nasal tips until angiogenesis gradually improves the physiological venous drainage .
Microvascular free-tissue transfers
in elderly patients: The leeds experience.