Reconstruction of head and neck tumors

After cancer tumor surgery, it is important to compensate for cosmetic appearance.

To help restore the appearance and function of facial components at the site affected by the cancer and to treat it, reconstructive surgeries should be used to maintain the appearance and reconstruction of the surgical area.

Reconstruction of large head and neck tumors

These surgeries usually involve microvascular reconstruction, which is made up of tissues from other parts of the body, such as:

Hip, calf transplant. And for maxillary reconstruction

Or other areas, for soft tissue or free flaps, the breast is usually used to transplant because small blood vessels are stitched together.

Reconstruction of soft and hard tissue in the area of tumors of the head, face, and neck

Since after surgery, removal of malignant oral, maxillofacial tumor, in addition to treatment and surgery of the mass, the beauty foundations, chewing, swallowing and breathing of the patient may be disrupted, so regeneration and replacement of the missing tissue is important which includes the reconstruction of hard and soft tissues in these patients.

There are several techniques for soft and hard tissue regeneration:

– Bone and soft tissue grafts

– Topical legged flaps

– Free flaps

– Restored plates

– Titanium prostheses

– Tissue Engineering

In each patient, depending on the condition of the tissue lost, any of the above methods can be considered in the treatment plan.

But today, free-flaps have become the standard treatment of choice. In this technique the vascular base of flap is transplanted to the recipient vessels

Free Flap Fibula

The important feature of this flap is the simultaneous reconstruction of bone and soft tissue of the jaw.

The characteristics of this flap are sufficient bone length and diameter for future treatments such as implantation of dental implants.

The proper length and diameter of the vessels, the simple and low complication method is the flap and the success rate is high.

In this practice, new VSP technologies are used to increase time and speed.

In this technique, the fibula is cut into multiple pieces and then fixed according to the jaw curve.

It is designed and implemented with the help of computer cutting guides.

So the results of the procedure largely have the shape and shape of the natural jaw.

The skin replica of this flap can be used to reconstruct lost intraoral mucosal tissue or the skin of the face and neck.

This delicate and delicate operation is usually performed by two resection and reconstruction teams simultaneously.

ALT : Anterolateral high Free Flap

This flap, which is used to reconstruct soft tissue, is removed from the outer part of the thigh.

In cases where extensive soft tissue is lost from the mouth or face, this type of flap will well lead to a soft tissue cover.

Radial Forearm Flap

This flap, which uses the forearm skin, is used to regenerate the soft tissue of small and thin areas.

Free Pelvic Flap: DCIA

This flap can also be used to replace soft and hard tissue. One of the characteristics of this flap is the proper size of the bone that matches the lower jaw.

Topical flaps are also an easier way to reconstruct the soft tissues of the head and neck.

Common and common flaps include:

Pecturalis Major, Supra Clavicular , Deltoctoral , Sub Mental , Lingual Fam Flap and ... Are.

Various Questions

If you’re during or before starting cancer treatment, the following questions may be on your mind. We will continue to explain everything to you.

Is cancer treatment beneficial?

Does cancer surgery relieve the patient’s symptoms?

Does cancer treatment extend the patient’s life?

You should know that the treatment plan and treatment process for each patient varies depending on the type of cancer and the stage at which it progresses.

Obviously, the lump and lesion cannot be left alone and should be taken at the earliest opportunity, ultrasound, CT scans and tests.

Sometimes the measures are aimed at control, prevention and diagnosis and can be controlled in the early stages and pose no serious risk to the patient’s longevity and health.

Sometimes, the disease progresses so much that it involves healthy tissues and cells that treatment is done only to prevent deterioration and prevent the possibility of death.

There are a lot of questions about the likelihood of success for patients، but it’s worth noting that neither cancer nor any other medical treatment is guaranteed because nothing can be predicted in the treatment process.

Depending on the patient’s condition and the area of surgery, the surgeon will decide on the most correct treatment to improve the physical and aesthetic conditions of the patient.

Therefore, the patient should visit faster with the first symptoms and start treatment depending on the doctor’s diagnosis.