Interdisciplinary microvascular reconstruction of maxillary, midfacial and skull base defects.

Microvascular reconstruction techniques are increasingly used for reconstructive purposes in the maxilla, the midface and the cranial base. In the maxillary area, they provide the possibility of a safe closure of nasoantral perforations which are too large for local coverage with or without additional bony reconstruction (n = 14). A basis for prosthodontic rehabilitation with implant-borne dentures is also provided. Additional free bone grafts are often a prerequisite for implant insertion. In reconstruction of the midface, microvascular techniques can separate functional units, provide tissue augmentation and give orbital support (n = 12). In skull base and cranial defects, a safe coverage of duraplasties and scalp reconstructions is achieved (n = 9).