Speciality of Hand Surgery | Replantation | Dos & Donts | First Aid | Tendon Injuries | Nerve Injuries | Common Hand Conditions | Rheumatoid Arthritis | Fused Fingers | Radial Club Hand | Brachial Plexus Injuries | Post cancer reconstruction | Vascularised bone graft | Spastic | Soft tissue reconstruction  | Cleft Lip & Palate | Fellowship Training Programme | Micro Surgery Training Institute |


The fibula compared with hemimandible

Fibula contured with osteotomies to 
shape like the missing half of the mandible
and fixed with mini plates.		 Post cancer surgery reconstruction
Cancers  of head and  neck region accounts for majority of all cancers in men in our country. Tobbaco chewing and alcohol are the major risk factors for these cancers.  In the past decade there has been significant improvements in the quality of life in these patients as a result of developments of one  stage  reconstrucion  and multi disciplinary approach. In modern era one cannot accept mutilating post cancer treatment deformities.  The most significant advancement in the management of these deformities has been the introduction of microsurgical reconstruction after major cancer resection surgery .

Mandibular (Jaw) reconstruction
Following mandibular resection  for  cancer,  there remains unsightly disfigurement of the face. It  is  both socially unacceptable , and functionally disabling for the patient. It can now be corrected  by  reconstructing the mandible  by microsurgical bone transfers. Immediate mandible reconstruction after tumour resection offers definitive advantages in selected cases. The preferred method of reconstruction of resected  mandible is using vascularised(along with its blood supply) Fibula (smaller sacrificible leg bone). The fibula is harvested from the leg and shaped according  to  the  mandible defect, and fixed in place with miniplates.The blood supply to the bone is restored by joining its blood vessels to the blood vessels in the face by microsurgical technique. 

Advantages of Microsurgical Reconstruction Include
· Early rehabilitation
· Better cosmetic appearance
· Earlier radiotherapy
· Better application of prosthesis(dentures)
· Less donor site problems

Breast reconstruction
Post  breast cancer reconstruction with good cosmetic result is also possible with microsurgery.