Reconstructive Thinking
Build a defect-first framework for head and neck reconstruction by auditing tissue loss, patient factors, flap physiology, and reconstructive priorities before selecting a donor site.
Topic
10 resident guides across 2 collections.
Build a defect-first framework for head and neck reconstruction by auditing tissue loss, patient factors, flap physiology, and reconstructive priorities before selecting a donor site.
Translate donor anatomy into reconstructive options, comparing pedicles, tissue components, geometry, and donor-site tradeoffs across radial forearm, ALT, fibula, subscapular, DCIA, and selected rescue flaps.
Apply defect-first reasoning to oral cavity, mandible, maxilla, pharynx, skin, and skull base, matching residual function and failure modes to a defensible construct.
Follow a free-flap plan through the operating room: contingencies, two-team workflow, recipient vessels, microvascular logic, inset, pedicle protection, and physiology-guided perioperative execution.
Recognize, escalate, and safely manage postoperative free-flap threats—from reproducible monitoring and vascular compromise to fistula, rehabilitation, survivorship, and late dysfunction.
Build a management-focused diagnostic plan for salivary-region masses using localization, behavior, imaging, tissue sampling, Milan categories, pathology, staging, and clinical discordance.
Use architecture, clinical setting, and natural history to distinguish benign and borderline salivary tumors, judge diagnostic confidence, and choose observation or appropriately planned surgery.
Interpret malignant salivary pathology through tumor identity, grade, extent, spread pattern, and actionable biology to anticipate the nerve, neck, margin, and treatment implications.
Plan the first salivary cancer operation around primary extent, facial nerve, neck risk, reconstruction, complications, and specimen mapping rather than the procedure name alone.
Convert final pathology and operative anatomy into an adjuvant, recurrence, surveillance, and survivorship plan that accounts for failure pattern, resectability, and molecular targets.