Reconstructive Surgery section has been at the forefront of surgical expertise. Plastic Surgeon Dr. Rahul Goyal within the Department of Head and Neck Surgery have an extensive experience with this state-of-the-art reconstructive surgical method. This is a technically demanding surgical technique in which tissue grafts harvested from the arms, legs, abdomen, and back are transferred to the mouth, throat, or face to replace missing tissues.
Candidates for this surgery include patients who suffer from the effects of cancers or tumors of the head and neck and their treatment, including the effects of radiation therapy. Patients with severe traumatic injuries of the face or neck may also be candidates for this type of reconstruction.
Microvascular reconstructive surgery involves the transfer of autogenous vascularized tissue to reconstruct extensive tissue defects. Areas commonly reconstructed include the jaws and mouth, the throat, and all areas of the face, scalp, and neck. Depending on the recipient defect site created from either trauma and/or head and neck cancer, a plethora of possible donor sites are available for transplantation. These include the following:
- Radial forearm free flap
- Fibula free flap
- Latissimus dorsi free flap
- Anterolateral thigh free flap
- Subscapular free flaps: including scapula, parascapular, latissismus serratus rib free flaps
- Rectus free flap
- Iliac crest free flap
- Jejunal free flap
A successful outcome in this type of reconstructive surgery depends upon meticulous suturing of 2 to 3mm blood vessels using a microscope and sutures that are finer than human hair to re-establish blood flow to the tissue graft. Because of the technically demanding nature of this type of surgery, most medical centers report failure of this type of reconstruction in 5 to 10 percent of cases. Dr. Rahul Goyal Surgeon has achieved a success rate that exceeds 99 percent in performing approximately 1,300 cases of microvascular reconstructive surgery during the 5 years .