MEDICAL DIARY - The Federation of Medical Societies of Hong Kong

VOL.11 VOL.12NO.5 NO.7 MAY JULY 20062007
management of patients suffering from head and neck
pathologies. The concept of both functional and
aesthetic reconstruction was presented and the
application of microvascular free tissue transfer was
discussed.
One of the main reasons of the improved results of
management of head and neck malignancies in the past
2 decades has been the radical resection of the tumour.
The surgeon would carry out a resection with wide
margin only when he knows that the defect could be
adequately reconstructed. Dr. Ng in his article on
reconstructive options detailed the various options of
reconstruction ranging from skin graft to pedicled flaps,
myocutaneous flaps and free flaps. The concept of when
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to use which method of reconstruction and why, was
clearly described. It is important for the readers to
understand the current concepts of reconstruction for
the head and neck region
Finally, Dr. Chan reported the results that a
contemporary head and neck centre could achieve
employing the concept of adequate tumour extirpation
followed by the appropriate reconstruction. It is
important that the evaluation of a patient suffering from
head and neck pathology is carried out by specialties of
different medical disciplines. Through this the optimal
treatment option can be offered to the patient to achieve
the best outcome.
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