Microsurgery - Cancer Reconstruction

Oral cancer is one of the most common cancer in the Indian subcontinent. 1 in 3 of all new cancer cases are those of oral cancer. The main treatment modalities of cancer are surgery and radiotherapy. Surgery involves removal of the cancer tissue completely which will leave a defect. This defect needs to be reconstructed with tissue from other part of the body. The unique anatomy of the face renders reconstruction challenging. However the advent of microsurgical tissue transfer has helped in better reconstruction of this defects thus helping in restoration of form and function. Our expertise in microsurgery helps in reconstruction of such large defects in the face following removal of the cancer. The reconstructive team includes specialists from Plastic & Reconstructive Microsurgery, Maxillofacial surgery and Speech pathology. This collaboration helps in proper establishment of jaw and teeth position during reconstruction along with better guidance and coordination for functional rehabilitation like swallowing. Once the defect is established, we harvest tissues from other areas in the body along with their blood vessels and transfer to the defect and connect the blood vessels to those in the neck with the help of operating microscope.

Preop

Intra-op

1.Fibula_Harvest












2.Reconstruction










3.Resection

Postop

3 weeks_postop














10 days_postop