Microvascular Reconstruction post Facial cancer removal (66 Years old) at Luxor Hospital скачать в хорошем качестве

Microvascular Reconstruction post Facial cancer removal (66 Years old) at Luxor Hospital

Testimonial of our patient who has undergone Microvascular Reconstruction post Facial cancer removal! Surgery performed with great results by Dr. Saumya Nayak at Luxor Hospital Let's hear his story At Luxor Hospital. A 66 year old male from MP came to share his experience with us. He had Oral Cancer and he underwent the surgery with us (at MSA Cancer institute where I operate) before 4 years. An Oncosurgeon removed his tumour and we did the major reconstruction of his face using Microvascular Plastic Surgery with a Free Anterolateral Thigh Flap. He’s very happy as he is well rehabilitated socially, looks good, can eat, drink and breathe well, can open his mouth well and can do all his work properly. And he specially came to meet us and we’re very happy and grateful to be a part of his journey and to receive such blessings from him!! Procedure Head and Neck cancer patients are generally treated in a cancer institute wherein a Plastic Surgeon forms an important part of the team. Proper Reconstruction after cancer removal is very important and Microvascular (Free flaps) surgery forms mainstay of Major reconstructions these days and is also an international standard nowadays. The ALT free flap was first described by Song et al and popularized by Wei et al among others. It is a versatile flap that can be raised as a fasciocutaneous or musculocutaneous flap and can be tailored to include added bulk as required by the defect. The flap has a long vascular pedicle with a single artery and two venae comitantes that is most commonly based on the descending branch of the lateral circumflex femoral artery. The flap is based on perforating vessels that most often run through the vastus lateralis muscle before piercing the fascia lata and entering the skin. Multiple variations have been described that can make for a less straightforward harvest than the radial forearm free flap. Perforators may arise from branches over than the descending branch of the LCFA. Perioperative Management: All patients undergoing complex head and neck reconstruction receive 24-48 hours of perioperative antibiotics. A nasogastric feeding tube is placed and the patient is kept NPO for at least 7 days. Patients undergoing salvage surgery following radiation therapy are kept NPO for at least 14 days. Pearls: Meticulous dissection is required with myocutaneous perforators. If only one perforator is taken with the flap, some muscle left adherent to it can alert the surgeon to twisting during the inset. Aggressive thinning of ALT flaps has been described in order to optimize the reconstructed volume. Alternatively, an overly thick flap can be thinned secondarily, even after adjuvant therapy, and often under local anesthesia. During closure, the fascia lata is not reapproximated. The skin is undermined in the suprafascial plane to achieve a minimal-tension closure. Dr Saumya Nayak, is also an adept Microvascular Plastic Surgeon who has used an ALT free flap to reconstruct this particular patient who has been restored of his form and function in the best possible way to get rehabilitated into the society well! Look no further for your Cosmetic, Hair Transplant and Plastic surgeries Visit us at www.luxorhospital.com for more details. Follow us on Facebook - www.facebook.com/luxorhospital Instagram - www.instagram.com/luxorhospital Google - g.page/luxorhospital Subscribe our YouTube channel for regular updates :)