Semin Plast Surg 2003; 17(3): 267-274
DOI: 10.1055/s-2004-815683
Copyright © 2003 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Avoiding and Dealing with Complications after Head and Neck Microvascular Reconstruction

Babak J. Mehrara, Peter G. Cordeiro
  • Division of Plastic and Reconstructive Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY
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Publication History

Publication Date:
23 January 2004 (online)


Recent advances in microsurgical techniques and equipment have significantly improved success rates of head and neck reconstruction. In this manuscript we review the methods commonly used by high-volume microsurgery centers to minimize postoperative complications. In addition, we describe our techniques for postoperative management, flap monitoring, and pharmacological prophylaxis for thrombosis. Finally, we discuss methods to salvage compromised flaps.