Purpose.

To determine the possibilities of multi-slice computed tomography (MSCT) with contrast enhancement at the pre- and postoperative assessment of flaps, donor and recipient zone.

Materials and methods. The study involved 96 patients (100%) with different pathology, who underwent autologous flap transplantation at pre- and postoperative stages.

Results. All flaps were successfully harvested and transplanted. Both immediate and long-term examination showed good appearance reconstruction. All followed-up patients conveyed good satisfaction degree with function and appearance reconstruction. Postoperative computed tomography examination with contrast enhancement did not show hemodynamically significant areas of narrowing or anastomotic failure in arterial vessels.

Conclusions. Computed tomography with contrast enhancement is a valuable tool that can enhance the precision of preoperative planning and postoperative assessment for free flap reconstruction.