Microvascular Free Tissue Transfer
Microvascular Free Tissue Transfer Services
At Spokane ENT, we provide comprehensive microvascular free tissue transfer (free flap) reconstruction for complex head and neck defects. This advanced reconstructive technique involves transferring tissue from one part of the body to another, along with its blood supply, to restore form and function after extensive surgery. Microvascular free tissue transfer is commonly used following removal of head and neck cancers, trauma, or other conditions that result in significant tissue loss. Our team specializes in this sophisticated reconstructive approach, working closely with head and neck surgeons, medical oncologists, and radiation oncologists to provide comprehensive, coordinated care.
We utilize advanced preoperative planning to evaluate patients for microvascular reconstruction, including detailed assessment of the defect size, location, and functional requirements. Our evaluation includes comprehensive physical examination, review of imaging studies, and assessment of patient factors including overall health, vascular status, and donor site availability. We work closely with the primary surgical team to plan the reconstruction, considering factors such as the need for bone, soft tissue, or composite reconstruction. Preoperative imaging including computed tomography (CT) angiography may be used to evaluate blood vessels and plan the microvascular anastomosis. Our goal is to develop a comprehensive reconstructive plan that optimizes functional and aesthetic outcomes while minimizing donor site morbidity.
Our microvascular reconstruction approach utilizes various donor sites depending on the specific requirements of the defect. Common flaps include radial forearm free flap for soft tissue reconstruction, fibula free flap for bone reconstruction, anterolateral thigh flap for large soft tissue defects, and other specialized flaps for specific indications. The procedure involves carefully harvesting the tissue flap with its blood vessels, transferring it to the head and neck region, and reconnecting the blood vessels using microsurgical techniques under high-powered magnification. This requires meticulous attention to detail and expertise in microvascular surgery. Following surgery, we provide intensive postoperative monitoring to ensure flap viability, including frequent assessment of blood flow, color, and temperature. Our team coordinates with speech therapists, physical therapists, and other rehabilitation specialists to optimize functional recovery. We provide comprehensive long-term follow-up to monitor healing, function, and aesthetic outcomes, making adjustments as needed to optimize results.
Frequently Asked Questions
It is reconstructive surgery that moves tissue (often from the arm or leg) to rebuild defects in the head and neck after cancer removal. Blood vessels are reconnected under a microscope to keep the tissue alive.
Free flap reconstruction is used when large defects from cancer surgery need to be rebuilt to restore swallowing, speech, or appearance. It provides durable, well-vascularized tissue.
Recovery involves a hospital stay and gradual return to eating and speaking. Rehabilitation and follow-up are important. Your care team will guide you through the process.
Head and neck surgeons with microvascular training perform these procedures. Spokane ENT works with specialists who offer this advanced reconstruction.
It is recommended when cancer surgery creates a defect that cannot be closed with local tissue. Your surgeon will discuss reconstruction options as part of your treatment plan.