RECONSTRUCTION FOLLOWING CANCER SURGERY OR TRAUMA

WHAT IS RECONSTRUCTIVE SURGERY FOR HEAD AND NECK?

It is possible to reconstruct parts of the head and neck that have been affected by cancer or trauma using microsurgery. In some cases, it is possible to reconstruct the face and neck by using tissues from other body parts, including the thighs, arms, and abdomen. The lower jaw can often be reconstructed with the use of bone from the lower leg.

WHAT IS RECONSTRUCTIVE MICROSURGERY?

Reconstructive microsurgery is a surgical speciality that involves sophisticated operating microscopes and precise tools to repair delicate systems such as blood arteries and nerves with diameters of less than a few millimetres. Reconstructive microsurgery is utilised to transplant tissues and organs, including bone, muscle, skin, and blood supply.

WHAT DOES THE PROCEDURE INVOLVE?

During reconstructive microsurgery, Dr September uses a high-magnification microscope to isolate tissue from one area of the body on an artery or vein and detach it before transferring it to the part of the body affected by cancer. The harvested tissue is known as a 'free flap' and may include a combination of skin, fat, muscle, and bone, depending on the specific procedure.

With a microscope and very fine stitches, Dr September can reconnect tiny blood vessels from the free flap to the recipient vessels in the affected area of the body. The high-magnification microscope allows Dr September to work with extreme precision and ensure that healthy blood flow is achieved.

WHAT CAN I EXPECT AFTER THE PROCEDURE?

Because the patient's own tissue is used in reconstructive microsurgery of the head and neck, there is minimal scarring, and the result is natural-looking. There is minimal damage to the donor site, promoting faster recovery and reduced complications following surgery. Gauze dressings or bandages will be put to your incisions after your microsurgery treatment. As the donor site recovers after surgery, an elastic bandage or compression garment may help to reduce swelling and support it. Following a microsurgical procedure, blood flow must be closely monitored, preferably in a hospital setting with dedicated professionals familiar with caring for microsurgery patients. The surgeon's preference and the surgery determine whether or not free flap monitoring is used. Small, thin tubes can be inserted beneath the skin to drain any extra blood or fluid accumulated.