Controversies in Microvascular Maxillofacial Reconstruction

Adam P. Fagin; Daniel Petrisor

doi:10.1016/j.coms.2017.07.001

Controversies in Microvascular Maxillofacial Reconstruction

Adam P. Fagin, Daniel Petrisor

School of Dentistry

Research output: Contribution to journal › Review article › peer-review

1 Scopus citations

Abstract

The effectiveness and reliability of microvascular reconstruction for large defects in the head and neck is no longer disputed. However, many controversies still persist in the ideal perioperative management of patients undergoing free tissue transfer. The optimal method of postoperative monitoring, the use of vasoconstrictors in the perioperative period, and the use of anticoagulants in the postoperative period remain topics of debate. This article offers recommendations on each of these controversies based on a review of the current literature.

Original language	English (US)
Pages (from-to)	415-424
Number of pages	10
Journal	Oral and Maxillofacial Surgery Clinics of North America
Volume	29
Issue number	4
DOIs	https://doi.org/10.1016/j.coms.2017.07.001
State	Published - Nov 2017

Keywords

Anticoagulant
Implantable Doppler
Microvascular
Postoperative monitoring
Vasoconstrictor

ASJC Scopus subject areas

Surgery
Oral Surgery
Otorhinolaryngology

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10.1016/j.coms.2017.07.001

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title = "Controversies in Microvascular Maxillofacial Reconstruction",

abstract = "The effectiveness and reliability of microvascular reconstruction for large defects in the head and neck is no longer disputed. However, many controversies still persist in the ideal perioperative management of patients undergoing free tissue transfer. The optimal method of postoperative monitoring, the use of vasoconstrictors in the perioperative period, and the use of anticoagulants in the postoperative period remain topics of debate. This article offers recommendations on each of these controversies based on a review of the current literature.",

keywords = "Anticoagulant, Implantable Doppler, Microvascular, Postoperative monitoring, Vasoconstrictor",

author = "Fagin, {Adam P.} and Daniel Petrisor",

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AU - Petrisor, Daniel

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N2 - The effectiveness and reliability of microvascular reconstruction for large defects in the head and neck is no longer disputed. However, many controversies still persist in the ideal perioperative management of patients undergoing free tissue transfer. The optimal method of postoperative monitoring, the use of vasoconstrictors in the perioperative period, and the use of anticoagulants in the postoperative period remain topics of debate. This article offers recommendations on each of these controversies based on a review of the current literature.

AB - The effectiveness and reliability of microvascular reconstruction for large defects in the head and neck is no longer disputed. However, many controversies still persist in the ideal perioperative management of patients undergoing free tissue transfer. The optimal method of postoperative monitoring, the use of vasoconstrictors in the perioperative period, and the use of anticoagulants in the postoperative period remain topics of debate. This article offers recommendations on each of these controversies based on a review of the current literature.

KW - Anticoagulant

KW - Implantable Doppler

KW - Microvascular

KW - Postoperative monitoring

KW - Vasoconstrictor

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JF - Oral and Maxillofacial Surgery Clinics of North America

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ER -

Controversies in Microvascular Maxillofacial Reconstruction

Abstract

Keywords

ASJC Scopus subject areas

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