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Purpose of Review <p>Cerebral revascularization has traditionally been within the realm of neurosurgery. However, donor vessel limitations, complex wound healing needs, and microsurgical challenges have created an expanded role for plastic surgery in this field. These collaborations have been referred to as “neuroplastic” techniques.</p> Recent Findings <p>Temporoparietal fascia (TPF) flaps have proven effective in providing effective combined revascularization with excellent outcomes. Flow-through flap principles, adapted from reconstructive surgery, enhance cerebral perfusion while maintaining tissue viability. Novel grafts—including lateral circumflex femoral artery branches and tibial vessels—further expand options for high, medium, and low-flow bypass, while interdisciplinary neuroplastic teams have demonstrated improved patency rates and functional outcomes.</p> Summary <p>Integration of neuroplastic collaboration into cerebral revascularization demonstrates advantages in surgical versatility. This is best noted in novel graft selection, wound healing, and microsurgical precision. Future directions include bioengineered conduits, robotics, and artificial intelligence to refine outcomes and strengthen interdisciplinary collaboration.</p>

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Cerebral Revascularization from a Plastic Surgeon’s Perspective – Expanding Neuroplastic Techniques

  • 期刊论文

  • 发表日期：

    2025年12月19日

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  • Aman Singla,
  • Jonathan Russin,
  • Joseph N. Carey

摘要

Purpose of Review

Cerebral revascularization has traditionally been within the realm of neurosurgery. However, donor vessel limitations, complex wound healing needs, and microsurgical challenges have created an expanded role for plastic surgery in this field. These collaborations have been referred to as “neuroplastic” techniques.

Recent Findings

Temporoparietal fascia (TPF) flaps have proven effective in providing effective combined revascularization with excellent outcomes. Flow-through flap principles, adapted from reconstructive surgery, enhance cerebral perfusion while maintaining tissue viability. Novel grafts—including lateral circumflex femoral artery branches and tibial vessels—further expand options for high, medium, and low-flow bypass, while interdisciplinary neuroplastic teams have demonstrated improved patency rates and functional outcomes.

Summary

Integration of neuroplastic collaboration into cerebral revascularization demonstrates advantages in surgical versatility. This is best noted in novel graft selection, wound healing, and microsurgical precision. Future directions include bioengineered conduits, robotics, and artificial intelligence to refine outcomes and strengthen interdisciplinary collaboration.