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Restore Form, Function, and Confidence

Complex reconstruction for head-neck, limb, and trunk defects with microsurgery expertise and rehab integration

Plan Your Reconstruction
94%
Flap Success
Microvascular flap survival with dedicated monitoring
18 hrs
Door-to-Reconstruction
Average time from trauma admission to operative coverage
82%
Function Restored
Patients regain key daily activities within 6 months

When to Consult

  • Post-cancer surgery defects affecting face, jaw, breast, or limbs requiring coverage or symmetry
  • Crush injuries, road traffic accidents, or industrial trauma exposing bone, tendon, or neurovascular structures
  • Chronic non-healing wounds, pressure sores, or osteomyelitis needing flap reconstruction
  • Congenital deformities (cleft, hemifacial microsomia) requiring staged reconstruction
  • Failed previous reconstruction or flap loss needing salvage
  • Requirement for functional outcomes—speech, swallowing, gait, or dexterity—alongside aesthetic restoration

Why Reconstruction Matters After Trauma or Cancer

Beyond closing a wound, true reconstruction restores confidence, function, and participation. Ajuda Hospitals unites plastic surgeons, oncologists, orthopaedic surgeons, ENT, neurosurgery, physiotherapy, and psychologists to rebuild lives after cancer excisions, road accidents, or congenital challenges. We help patients return to work, school, and social life with dignity.

From Diagnosis to Definitive Surgery

  1. Comprehensive Assessment: Review imaging, pathology, and prior surgeries. Determine goals—speech, chewing, walking, appearance.
  2. Plan Simulation: 3D printed models and virtual planning predict bone cuts, flap inset, and dental alignment.
  3. Surgery Scheduling: Aligns with oncology timelines, infection control, and donor-site readiness.
  4. ICU Monitoring: Implantable Doppler probes, nurse ratios 1:1, and stepwise mobilisation under anaesthetist watch.
  5. Rehab Milestones: Physiotherapy, speech, and occupational therapy start in-hospital and continue through tele-sessions post discharge.

Reconstruction Pathways

  • Head & Neck: Mandible, tongue, palate reconstruction using fibula, radial forearm, or anterolateral thigh flaps. Speech and swallowing therapy integrated from day one.
  • Limb Trauma: Soft-tissue cover for exposed bone, nerve grafts, and tendon balancing to avoid amputation. External fixators and bone transport rebuild length.
  • Breast & Trunk: DIEP flap, implant with mesh support, or fat grafting for symmetry. Oncoplastic surgeons guide oncological safety and aesthetics.
  • Pediatric & Congenital: Cleft lip/palate revisions, ear reconstruction, craniofacial deformity correction with staged growth-friendly techniques.
  • Secondary Refinement: Contour debulking, fat grafting, tattooing, and laser polishing refine appearance and patient comfort.

Rehabilitation & Support

Integrated support includes:

  • ✓ Nutritionists boosting protein and micronutrients for healing
  • ✓ Speech therapists aiding pronunciation and swallowing post head-neck surgery
  • ✓ Occupational therapists adapting homes/workplaces
  • ✓ Psychologists and support groups addressing body image and resilience

Telemedicine reviews help outstation patients from Karimnagar, Nizamabad, and Amaravati stay on track without frequent travel.

Technology at Work

Operating microscopes, fluorescence angiography, 3D-printed cutting guides, and patient-specific implants enhance precision. In-house dental lab and prosthetists craft obturators, splints, and prostheses tailored to each case.

Take Control of Your Reconstruction Journey

Bring surgical reports, imaging, and personal goals. Ajuda's reconstruction board will map a staged plan focusing on function, aesthetics, and emotional wellbeing. From first dressing to final refinements, we stand beside you and your family.

Diagnosis Approach

1

Multidisciplinary Case Board

Plastic surgeons, oncologists, orthopaedicians, ENT, neurosurgeons, and rehab specialists plan sequencing.

2

Perfusion & Imaging Workup

CT angiography, Doppler mapping, nerve conduction, and 3D modelling to select ideal donor sites.

3

Patient Optimisation

Nutritional support, infection control, cessation counselling, and comorbidity stabilisation.

4

Rehab & Psychosocial Planning

Prehab exercises, speech therapy preview, and counselling for caregiver preparedness.

Treatment Options

Microvascular Free Flap Reconstruction

Fibula, ALT, DIEP, radial forearm, and gracilis flaps for head-neck, breast, and limb defects.

Restores contour and function with robust blood supply
6–10 hour surgeries with ICU monitoring

Regional & Local Flaps

Pectoralis major, trapezius, sural, and perforator flaps tailored to defect size and location.

Shorter operative time with reliable coverage
3–5 hours; hospital stay 5–7 days

Limb Salvage & Bone Reconstruction

Ilizarov-assisted bone transport, tendon transfers, nerve grafting, and negative-pressure wound therapy.

Avoids amputation and preserves mobility
Staged approach over several months

Breast Reconstruction After Cancer

Immediate or delayed DIEP/TRAM flaps, implant-based reconstruction, and fat grafting for symmetry.

Rebuilds breast shape and confidence post-mastectomy
4–6 hours; enhanced recovery pathway

Facial Reanimation

Cross-facial nerve grafts, gracilis free flaps, and static slings for facial nerve palsy.

Restores smile and eye closure function
6–8 hours; targeted rehab

Scar & Contour Refinement

Secondary debulking, fat grafting, laser resurfacing, and tattoo camouflage.

Improves aesthetics and patient satisfaction
Outpatient or day-care sessions

Expected Outcomes

Treatment Timeline

Week 1

Flap viability confirmed; begin gentle physiotherapy

Month 1

Functional rehab intensifies; speech/swallow training progresses

Month 3

Return to independent activities; aesthetic refinements planned

Month 12

Final contour achieved; secondary revisions completed

Success Metrics

  • Flap Doppler signals stable across monitoring period
  • Return-to-work or school within agreed timeframe
  • High PROMS (Patient-Reported Outcome Measures) on function and appearance