Microvascular Surgery in Head and Neck Reconstruction

In recent years, reconstructive surgery has made significant advancements, with free tissue transfer now widely recognized as the standard for effective anatomical, functional, and cosmetic rehabilitation following major medical procedures. The success of free tissue transfer relies on precise microvascular surgery techniques to ensure proper blood flow in the critical vascular anastomoses. Despite advances in imaging and microsurgery technologies, modern head and neck reconstructive surgery lacks a definitive resource on how to consistently perform and achieve successful vascular anastomoses.

Microvascular Surgery in Head and Neck Reconstruction addresses this gap, demystifying microvascular surgery by breaking down the process into clear steps that can be explained, executed, and reproduced. It provides a detailed guide on all aspects of head and neck microvascular surgery, including case planning, flap selection, and troubleshooting vascular complications, spanning the breadth of the specialty from foundational principles to complex cases and modern surgical techniques.

Authored by leading experts in the field, this comprehensive volume will serve as a seminal resource in the surgical community, providing essential knowledge and practical guidance for both trainees and experienced surgeons worldwide.

Leandros Vassilios F. Vassiliou, Consultant Oral Maxillofacial and Head & Neck Reconstructive Surgeon, Manchester University NHS Foundation Trust, Manchester, UK; and Visiting Professor, University of Greater Manchester, UK,Panayiotis Kyzas, Consultant Oral Maxillofacial and Head & Neck Surgeon, East Lancashire Hospitals NHS Trust, Blackburn, UK; and Visiting Professor, Edge Hill University, UK,Nicholas Kalavrezos, Head & Neck Reconstructive Surgeon, University College London Hospital, London, UK; and President of the European Association of Craniomaxillofacial Surgery (EACMFS)

Leandros (Leo) Vassilios F. Vassiliou is Consultant Oral Maxillofacial and Head & Neck Reconstructive Surgeon at Manchester University NHS Foundation Trust, and Visiting Professor at the University of Greater Manchester, UK. His surgical practice is mainly focused on head and neck cancer ablation and reconstruction, and has outstanding outcomes in complex head and neck operations. He has received national excellence awards and prizes for his clinical and scientific achievements and is recognised for his presence in professional associations such as the European Association of Craniomaxillofacial Surgeons (EACMFS), the British Association of Head Neck Oncologists (BAHNO), and the British Association of Oral and Maxillofacial Surgeons (BAOMS). He has authored numerous guidance papers, textbooks, and articles, and is currently Deputy Editor-in-Chief of the Journal of Cranio-Maxillo-Facial Surgery (JCMS) and Associate Editor of the British Journal of Oral and Maxillofacial Surgery (BJOMS).

Panayiotis (Panos) Kyzas is Consultant Oral Maxillofacial and Head & Neck Surgeon at East Lancashire Hospitals NHS Trust, Blackburn, and Visiting Professor at Edge Hill University, UK. He is a Fellow of the British Association of Oral and Maxillofacial Surgeons (BAOMS), the Royal College of Surgeons of Edinburgh (RCSEd), and the European Association for Cranio-Maxillofacial Surgery (EACMFS). He was the national OMFS Lead for Quality and Outcomes in Oral and Maxillofacial Surgery (QOMS), Chair and Research Lead for the Oral and Maxillofacial Surgery Specialty Training Committee (OMFS STC), and the National OMFS Representative and Quality Assurance Lead for TIG H&N. He served as Clinical Director for Cancer at his NHS Trust, and holds a Bronze National Clinical Excellence Award for his services to the NHS. Currently he serves as Clinical Director of the OMFS/CMF/H&N Department at the German Medical Institute, and Editor-in-Chief for the British Journal of Oral and Maxillofacial Surgery (BJOMS).

Nicholas Kalavrezos is a Head & Neck Reconstructive Surgeon at the University College London Hospital, London, UK, where he is founding member of the Centre for Reconstructive Surgery. He is also the Lead Head and Neck Sarcoma Surgeon for the London Sarcoma Service. Mr Kalavrezos' clinical practice includes ablative and reconstructive surgery for the head and neck with a special interest in bone sarcomas and functional outcomes following reconstructive surgery. His research interests include applications of 'tissue engineering' in head and neck reconstruction, and he has joint research projects in the Nanotechnology Lab of UCL on 'tissue engineered bio-scaffolding' aiming to replace defects of the head and neck with tissue-engineered based micro-vascular flap reconstruction. Mr Kalavrezos is a member of the 'Face Transplant Group' based at Royal Free Hospital, and is President of the European Association for Cranio-Maxillofacial Surgery (EACMFS).

1. Theatre set-up and essentials for microvascular surgery, Leandros Vassilios F. Vassiliou, Panayiotis Kyzas, and Nicholas Kalavrezos2. Common flaps in head and neck reconstruction and considerations for flap selection, Fu-Chan Wei, Eleonora O.F. Dimovska, Nidal Al Deek, Leandros Vassilios F. Vassiliou, Panayiotis Kyzas, and Nicholas Kalavrezos3. Anaesthetic considerations for head and neck free-flap reconstructive surgery, Danielle Ormandy, Leandros Vassilios F. Vassiliou, Panayiotis Kyzas, and Nicholas Kalavrezos4. The surgical microscope, Leandros Vassilios F. Vassiliou, Panayiotis Kyzas, and Nicholas Kalavrezos5. Vessel choice and preparation: Artery, Julio Acero, Danny Adam, Fernando Almeida, Leandros Vassilios F. Vassiliou, Panayiotis Kyzas, and Nicholas Kalavrezos6. Vessel choice and preparation: Vein, Julio Acero, Danny Adam, Fernando Almeida, Leandros Vassilios F. Vassiliou, Panayiotis Kyzas, and Nicholas Kalavrezos7. Pedicle orientation and vessel preparation, Leandros Vassilios F. Vassiliou, Panayiotis Kyzas, and Nicholas Kalavrezos8. Techniques for anastomosis: Artery, Phil Pirgousis, Basim E.S. Dawoud, Leandros Vassilios F. Vassiliou, Panayiotis Kyzas, and Nicholas Kalavrezos9. Techniques for anastomosis: Vein, Basim E.S. Dawoud, Phil Pirgousis, Leandros Vassilios F. Vassiliou, Panayiotis Kyzas, and Nicholas Kalavrezos10. Anastomosis initial assessment and final pedicle positioning, Andrew Goodall, Leandros Vassilios F. Vassiliou, Panayiotis Kyzas, and Nicholas Kalavrezos11. Troubleshooting: Recognition, Fu-Chan Wei, Gonzalo Mallarino, Nidal Al Deek, Leandros Vassilios F. Vassiliou, Panayiotis Kyzas, and Nicholas Kalavrezos12. Troubleshooting: Immediate/early management, Leandros Vassilios F. Vassiliou, Panayiotis Kyzas, and Nicholas Kalavrezos13. Troubleshooting and cause directed management: Artery, Leandros Vassilios F. Vassiliou, Panayiotis Kyzas, and Nicholas Kalavrezos14. Troubleshooting and cause directed management: Vein, Leandros Vassilios F. Vassiliou, Panayiotis Kyzas, and Nicholas Kalavrezos15. Troubleshooting: An overview algorithm, Leandros Vassilios F. Vassiliou, Panayiotis Kyzas, and Nicholas Kalavrezos16. Vessel depleted neck and solutions, Fu-Chan Wei, El Muiz Mustafa, Nidal Al Deek, Leandros Vassilios F. Vassiliou, Panayiotis Kyzas, and Nicholas Kalavrezos