Non-Suturing Methods of Microvascular Anastomosis in Maxillofacial Reconstruction: A Literature Review

New surgical ideas and techniques are introduced when surgical processes get more sophisticated, in order to make operations easier and reduce working time. Suturing procedures have long been the mainstay for microvascular anastomoses, however due to technological issues and labour intensity, sutureless microvascular anastomoses have advanced significantly. In this review, we discuss the trends of this era through the years, with a focal point at the greater current traits of laser-assisted vascular anastomoses, the coupler system, vascular closure staples and fibrin adhesives in maxillofacial reconstruction. The running principles of various methods of non-suturing methods of microvascular anastomosis in maxillofacial reconstruction along with their advantages and disadvantages are discussed in this review article.