Two plastic surgeons cover reconstructive operations in both NCCHE and NCCH, and some residents are training in this division. Every week three to four reconstructive operations are performed. For research and training programs, we opened a microsurgical laboratory in NCCHE in 1996. Types of tissue defects are shown below, for several regions.
1. Head and Neck:
Tissue defects of the tongue, oral cavity, mesopharynx, hypopharynx, cervical esophagus, mandibular bone, facial skin, and facial nerve, etc.
Tissue defects of the extremities including bone, muscle, nerve, skin, vessels, etc., and large tissue defects of the body.
Deformity of breast tissue.
4. General Surgical
Tissue defects of the esophagus, abdominal and chest walls, etc.
Tissue defects after ablative surgery for skin cancer.
6. Neurosurgical Regions
Tissue defects of the scalp, skull and skull base region.
Reconstruction of perineal region.
1. Sensory flaps for reconstruction of tongue defects have been used and a functional investigation was performed. Free jejunal grafting was used as a patch graft for repair of intraoral defects.
2. In an attempt to preserve the voice, free flap transfer was carried out for repair of defects after cancer ablation around the larynx.
3. A new method of reconstructing the abdominal wall utilizing a pedicled anterolateral thigh flap was established.
|Primary site||No.||Reconstructive methods||No.|
|Tongue||32||Rectus abdominis MC*||49|
|Hypopharynx and||35||Jejunal graft||38|
|Cervical esophagus||Anterolateral thigh||13|
|Mesopharynx||14||Latissimus dorsi MC*||0|
|Oral floor||7||Radial forearm||2|
|Buccal mucosa||6||Iliac bone||0|
|Salivary Glands||2||Fibular bone||4|
|Maxillary sinus||1||Vascularized nerve||2|
|General surgical||7 (3)|
|Total necrosis||6 (5.5%)|
|Partial necrosis||3 (2.8%)|
|Major leakage||4 (3.7%)|
|Minor leakage||12 (11.0%)|
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