Mikrovaskulärer Gewebetransfer

Abstract

Microvascular tissue transfer has rapidly developed to a routine method since is introduction approximately 30 years ago and is nowadays also the focal point of reconstructive procedures in oral and craniomaxillofacial surgery. Depending on the condition of the defect area, transplants with various tissue components can be acquired from many donor sites, which are distinguished by a constant anatomy and therefore allow standardized preparation techniques. Recently, the so-called perforator flaps have been discussed as an extension of this well-established technique and are characterized by minimal donor morbidity but often make an individual approach for flap raising necessary due to the wide variation in anatomy. Microvascular tissue transfer has become an indispensible component particularly in tumor surgery and success rates of 95% have been cited by large centers. It can therefore be considered an extremely safe reconstruction procedure in oral and craniomaxillofacial surgery.