| 1 |
Introduction to Microsurgery in Head & Neck Reconstruction |
Evolution of microsurgery, indications in oral cancer, principles of defect-based flap selection, overview of modules. |
| 2 |
Microsurgical Instruments, Microscope Setup & Ergonomics |
Operating microscope, loupe magnification, micro-instruments, hand–eye coordination, posture & fatigue prevention. |
| 3 |
Suture Materials, Needles & Microsuturing Techniques |
Microsurgical sutures (9-0 to 11-0 nylon), knot security, handling delicate vessels, simulation model practice. |
| 4 |
Vascular Anatomy of the Head, Neck & Common Donor Sites |
Recipient vessels (facial, superior thyroid, external jugular) and donor site anatomy (radial, fibular, ALT, scapular). |
| 5 |
Principles of Vascular Anastomosis & Flow Dynamics |
End-to-end and end-to-side techniques, handling adventitia, preventing thrombosis, flow restoration. |
| 6 |
Commonly Used Free Flaps in Head & Neck Reconstruction (Part I) |
Radial Forearm and Fibula Flaps – anatomy, flap design, harvest steps, indications (tongue, mandible, floor of mouth). |
| 7 |
Commonly Used Free Flaps (Part II) |
Anterolateral Thigh (ALT), Scapular, and Latissimus Dorsi Flaps – versatility, bulk management, 3D reconstructions. |
| 8 |
Flap Planning & Recipient Site Preparation |
Preoperative planning, defect analysis, vessel choice, inset design, tension-free inset, two-team approach. |
| 9 |
Postoperative Flap Monitoring & Management |
Clinical and instrumental monitoring, Doppler use, early recognition of compromise, anticoagulation and flap care. |
| 10 |
Complications, Troubleshooting & Salvage of Failing Flaps |
Early thrombosis management, re-exploration protocols, common errors, secondary contour/function procedures. |
| 11 |
Advanced Topics, Case Discussions & Video Demonstrations |
Supermicrosurgery, perforator-based flaps, lymphedema surgery basics, surgical videos, Q&A + assessment. |
