Preceptor: Mario G. Solari MD
Other faculty: Shaum Sridharan MD, Mark Kubik MD
The H&N Reconstructive Surgery Service is based at the Oakland Campus with the majority of surgeries performed at Montefiore and Presbyterian hospitals and the remainder performed at the Oakland VA hospital. Flaps include ALT, fibula, radial/ulnar forearm, and flaps based on the subscapular system with chimeric flaps commonly performed. Rarer flaps include jejunum, sural artery, gracilis, and others. Virtual surgical planning is performed for the majority of bony reconstructions. Nerve reconstruction is also commonly performed either as grafts (facial nerve, inferior alveolar nerve) or flap neurotization. Fellows will develop their core microsurgical skill sets throughout the year and will be able to independently perform complex microsurgical reconstructions upon completion of the fellowship.
The H&N reconstructive experience is based upon a decades-long collaboration between the Otolaryngology and Plastic Surgery Departments. The H&N Reconstructive Surgery service is housed in the Department of Plastic Surgery, but is comprised of both ENT and plastic surgery residents and fellows. Trainees from both departments are treated equally and have the same educational opportunities. Expectations and responsibilities are based on trainee level and not department affiliation; we refer to our team members with the prefix “Recon” rather than by their department (e.g. recon fellow, recon chief, recon senior). Three fellows (2 H&N and 1 PRS) divide the cases for the week in advance. More than 165 H&N free flaps are performed per year. Fellow responsibilities include assessing the patient morning of surgery, guiding residents through the cases, and participating in operative revisions. Routine rounding and patient care is managed by the residents. All free flaps for the following week are discussed at an hour-long educational/planning conference on Fridays. The focus is on goals of surgery, practical decision making and risk mitigation. On non-operative days, the fellow is welcome at any of the attending’s clinics