Page 118 - HA Convention 2016 [Full Version]

HOSPITAL AUTHORITY CONVENTION 2016 Masterclasses

M9.1 Plastic Surgery in Hospital Authority 16:15 Room 423 & 424

Tuesday, 3 May Free Flap Reconstruction in Head and Neck Surgery — a Review of the Hospital Authority’s Experience
Choi EWK
Department of Surgery, Tuen Mun Hospital, Hong Kong

Although head and neck cancer is not within the list of the top 10 malignancies in Hong Kong, is well known that surgical
treatment for patient with head and neck cancer could result in significant functional and cosmetic impairment if the surgical
defect is not probably reconstructed.

With advances in reconstructive microsurgery with free tissue transfer, we now have more freedom in selecting different
types of tissues from other body parts (such as skin, bone, muscle, viscera and lymph node, or their compositions) to fulfill
our reconstructive purposes. With proper selection of the type of tissue flaps being transferred, not only can we improve the
functional and cosmetic outcomes, decrease donor site morbidities and hospital stays after tumour ablative surgery; it also
allows more aggressive tumour resection and makes surgical treatment for advance or recurrent tumour possible.

In this presentation, the most commonly used free tissue flaps for head and neck reconstruction will be illustrated with
references to different types of head and neck surgical defects. Their pros and cons relative to traditional methods will also
be discussed with examples.

With the effort from Dr Albert Yuen, former Programme Director of the Surgical Outcomes Monitoring and Improvement
Programme (SOMIP) and our higher surgical trainee Dr HC Ho, the subspecialty group in plastic surgery of the Coordinating
Committee (COC) in Surgery had conducted a HA-wide review on the outcomes of free flap surgery. The result will be
summarised and presented with focus in head and neck reconstructions.

M9.2 Plastic Surgery in Hospital Authority 16:15 Room 423 & 424

Management Pathway for Cleft Patients
Li GKH
Department of Surgery, Queen Mary Hospital, Hong Kong

Cleft lip and palate deformity occurs one in every 800 to 1000 live births. The deformity affects facial appearance, speech
development, hearing, dental occlusion and can imply psychological burden on both the patient and the family. The condition
is amendable with multi-disciplinary treatment including surgical repair, speech training, orthodontic treatment, jaw bone
surgery and psychological support. Treatment starts right after antenatal diagnosis is made and continues to young
adulthood after facial growth has completed. It requires the effort of multiple specialties as well as the patient and parents.
The ultimate aim is to help the child live a happy and normal life.

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