Objectives:
Midface reconstruction poses a complex set of challenges for
reconstructive surgeons. The optimal midface reconstruction must possess
a durable underlying bone construct capable of integrating dental
implants. Facial contour is restored by the overlying microvascular soft
tissue reconstruction with reestablishment of the oral cavity. A
plethora of microvascular flaps used in clinical practice have been
described including those harvested from the iliac crest, scapula,
fibula, forearm and back (latissimus dorsi). The objective was to share
our experiences with each of these treatment options that have continued
to evolve over time for the benefit of patients.