RT Book, Section A1 Divi, Vasu A1 Deschler, Daniel G. A2 Lalwani, Anil K. SR Print(0) ID 55774252 T1 Chapter 78. Microvascular Reconstruction T2 CURRENT Diagnosis & Treatment in Otolaryngology—Head & Neck Surgery, 3e YR 2012 FD 2012 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-162439-8 LK accesssurgery.mhmedical.com/content.aspx?aid=55774252 RD 2024/03/29 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 78–1) 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.