HEAD AND NECK RECONSTRUCTION
A. MANDIBLE (FREE FIBULA FLAP)
The fibula flap may be used to fill a hole in the upper or lower jaw bone, and is a common way of replacing lost or damaged bone following cancer treatment. During the procedure, Dr September will remove bone from the lower part of the leg (along with blood vessels). The bone is then transferred to the head and neck. The transferred bone is secured in place with plates and screws, while the blood vessels in the bone are connected to the blood vessels in the neck. This keeps the transferred fibula flap alive and functioning in its new position.
B. ORAL CANCERS / PHARYNGEAL CANCER
In cases of oral cancer, it is possible to reconstruct areas of the head and neck that have been affected by the disease. Dr September specialises in microsurgery, in which he uses a patient's own tissue to reconstruct various parts of the body. During the procedure, he will detach tissue from one part of the body, and transfer it to another area. The transferred tissue may include skin, fat, muscle, and bone, and is transferred with the help of a microscope and fine stitches, which allow the reconnection of tiny blood vessels.
C. OESOPHAGEAL RECONSTRUCTION
After cancer surgery, Dr September may recommend oesophageal reconstruction. During the procedure, he may use a section of your small intestine to reconstruct the oesophagus and recreate the connection between the mouth and stomach. By means of microsurgery, Dr September will ensure that there is a healthy blood supply to the transplanted tissue. The small intestine is used in oesophageal reconstruction because it is similar in size to the oesophagus, and generally produces good results. Once you have recovered, you will be able to eat and swallow food as normal.