Medical review in progress — patient information, not a substitute for a consultation.
Overview
Removing a cancer from the head and neck can leave defects of the skin, lip, cheek, jaw or mouth lining. Reconstruction with local or distant tissue (flaps) aims to close the wound safely, protect vital structures and restore function and appearance. It is planned together with the treating cancer team.
What it addresses
- Defects after removal of skin, lip, cheek or oral cancers
- Exposed bone or vital structures
- Disfigurement after earlier cancer surgery
Who may be a candidate
- Patients planned for head and neck cancer surgery
- Survivors seeking secondary reconstruction
Treatment options
- 01Local flaps for small facial defects
- 02Regional flaps from the chest or forehead
- 03Skin grafts
- 04Staged secondary reconstruction
Benefits & limitations
- Reconstruction can make complete tumour removal safer
- Appearance improves but may not be exactly as before
Every patient is different. Results vary and no outcome can be guaranteed; your surgeon will discuss what is realistic for you.
Consultation & assessment
At Central Hospital, Dhanmondi, Dr. Masum takes a full history, examines the area of concern and — only with your permission — takes clinical photographs for your file. He explains which options suit you, including non-surgical ones where they are appropriate, together with the expected recovery, possible risks and the cost, so that you can decide without pressure.
Please bring previous prescriptions, investigation reports and a list of the medicines you take.
Preparing for surgery
- 1Tell the surgeon about diabetes, high blood pressure, heart or kidney disease and any allergies.
- 2Mention blood thinners, aspirin or herbal supplements — some may need to be paused only on medical advice.
- 3Stop smoking well before surgery; it slows wound healing.
- 4Follow the fasting and medicine instructions you are given for the day of surgery.
- 5Arrange for a family member to accompany you and help at home for the first days.
The procedure
The tumour is removed with a margin of healthy tissue; the defect is then reconstructed in the same operation where possible, using tissue with its own blood supply.
Recovery & aftercare
Hospital stay depends on the extent of surgery. Further cancer treatment, speech and swallowing support may follow.
Possible risks
- Partial or complete flap failure
- Changes in speech, swallowing or facial movement
- Bleeding or a collection of blood under the skin (haematoma)
- Infection
- Delayed wound healing or wound breakdown
- Scarring that is more noticeable than expected
- Risks related to anaesthesia
Questions about this treatment
Planning reconstruction alongside cancer removal helps close the wound safely and restore form and function.
Appointment
Talk to us before you decide.
Call the hotline for a serial at Central Hospital, Dhanmondi — Saturday to Thursday, 3 pm to 6 pm.