RECON

Question 1

Flap types

Answer 1

Flap types

• local
• > random
• > axial
• >
• regional
• >
• >
• distant
• > free vascularized flap

Local - tongue, famm, platysma (for buccal mucosa recons)
Regional - pect major. Trapezius.

Distant free flap
Radial
Alt

Question 2

How do you manage falp intra and post op

Answer 2

Management of intraop flap
- ischemia time
- microvac anastomosis
- vessels selection:
Upper third if face - fa, superficial temporal artery
Middle third face - fa. Sta.
lower third. - fa. Superior thyroid artery

• intraop arterial anastomosis - spasm, kinking, twisting tension, reanastomose
• intraop venous anastomosis- kinking twisting twnsion , reanastomose
• anticoagulation - heparinized irrigation solution
• general condtion: bp,

Postop 
Head neutral position
Good bp
Anticoagulation systematically
close monitoring : color, turgor, capilalry refill 
Control swelling 
Prevent anemia