Microvascular head and neck reconstruction is a technique for rebuilding the face and neck using blood vessels bone and tissue including muscle and skin from other parts of the body. Keywords scalp reconstruction lateral temporal bone reconstruction scalp neoplasms scalp defects microvascular reconstruction free tissue transfer scalp and lateral temporal bone defects may result from tumor resection chronic infection osteroradionecrosis trauma . Microvascular reconstruction is a surgical procedure that involves moving a composite piece of tissue from another part of the body to the head and neck the tissue most commonly comes from the arms legs or back and can include bone skin fat and or muscle. Conclusions vascularized bone containing free flaps are preferred for reconstruction of most segmental mandibulectomy defects in patients undergoing microvascular flap reconstruction however use of a soft tissue flap with a bridging mandibular reconstruction plate is a reasonable alternative in patients with lateral oromandibular defects
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