METHODS OF RECONSTRUCTION

Any discussion on reconstructive methods should not merely provide a c atalog of various reconstructions but should attempt to put in context the reasoning for choosing a particular reconstructive option. Clearl y, for any defect, multiple options may be possible. It is important, however, to choose the simplest method that will provide the best matc h to the defect with the least morbidity to the patient. This article first discusses the various reconstructive options available and the p articular advantages and disadvantages of each. Next, the peculiaritie s of recipient site are evaluated. The potential donor site morbidity to the patient also is considered, Finally, to illustrate these interl inking principles, certain cases are presented and are divided into ca tegories based on the reconstructive demands. Flap reconstruction can take the surgeons about 2 hours to complete, but the ultimate success of any reconstruction depends on astute and comprehensive nursing care over many weeks. Nursing strategies for graft and flap management are addressed.