RT Book, Section A1 Divi, Vasu A1 Deschler, Daniel G. A2 Lalwani, Anil K. SR Print(0) ID 1169082651 T1 Microvascular Reconstruction T2 Current Diagnosis & Treatment Otolaryngology—Head and Neck Surgery, 4e YR 2020 FD 2020 PB McGraw-Hill Education PP New York, NY SN 9780071847643 LK accessmedicine.mhmedical.com/content.aspx?aid=1169082651 RD 2024/03/28 AB The basic goal of head and neck reconstruction is to replace soft-tissue and bony defects with similar tissue, restoring function and optimizing cosmesis. Reconstructive surgical options are typically thought of in a hierarchy called the reconstructive ladder (Table 81–1). Each step on the ladder increases the invasiveness and complexity of the reconstruction. Selection of the appropriate procedure depends on the defect and the goals of reconstruction.