Reconstructive options in Head & Neck Cancer Surgeries.

Sundaram, S S (2007) Reconstructive options in Head & Neck Cancer Surgeries. Masters thesis, Kilpauk Medical College, Chennai.


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INTRODUCTION : Head & Neck cancer surgery entails a range of surgery from simple primary closure to complex reconstruction requiring free flaps. It is prudent to follow an order of reconstruction using the simplest that suits the requirement. Excision of head and neck tumors may result in exposure of vital structures such as the brain, eye, aerodigestive tract or major neurovascular structures. If inadequately reconstructed, such defects may result in significant complications and/or impairment in the performance of routine daily functions, such as speech and swallowing. In addition, esthetic disfigurement may be very significant to the patient’s self-image and social adaptability. Adequate reconstruction after tumor excision is therefore the first step to rehabilitating the head and neck cancer patient-aiming to preserve and restore preoperative activity and quality of life. AIM : The study aims to analyze the various reconstruction methods used in the head & neck cancer surgery at the surgical oncology department of Government Royapettah hospital in the study period of August 2004 – April 2007. All head and neck surgeries from the simplest skin cancer excision to the complex oropharyngeal resections were to be analysed as to 1. The reconstruction requirements of the various head and neck cancer resections, 2. The types of reconstruction methods used, 3. The complications associated with each of them, 4. The final outcome associated with major oral resections and their reconstruction. CONCLUSION : Head and neck cancer surgeries require various reconstruction methods ranging from the simplest to the complex. Reconstruction is to be tailored according to the needs of the individual case. Pedicled regional flaps especially PMMC has been the workhorse in our hospital. Most of the complex oral and oropharyngeal resections can be effectively managed with PMMC without any expert plastic surgical help. They can be monitored easily postoperatively without any need for sophisticated methods as for free flaps. PMMC is the choice flap in high volume centres with resource and time constraints where microsurgical expertise is not available. They have proved effective in the absence of microvascular free flaps. Further improvement in our results can be achieved if free flaps could be used in a choice few cases and effective mandibular reconstructions are to be used.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Reconstructive options ; Head & Neck Cancer Surgeries.
Subjects: MEDICAL > Surgical Oncology
Depositing User: Kambaraman B
Date Deposited: 25 Jul 2017 03:20
Last Modified: 25 Jul 2017 03:20

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