Are arterial flaps effective for complex post-burn neck reconstruction?

Dear Md Sakil ji,

Elite Mission Hospital in Koorkenchery, Thrissur has a dedicated Plastic, Reconstructive and Aesthetic Surgery department. The hospital states that its Sushrutha Institute of Plastic, Reconstructive & Aesthetic Surgery was established in 2007 and has a team of plastic surgeons, with facilities for two microsurgeries simultaneously.

For someone with a post-burn neck deformity who has already undergone three unsuccessful reconstructive surgeries, this type of dedicated reconstructive and microsurgical setup is relevant. However, it would not be appropriate to guarantee a “good” aesthetic or functional result without examining the scar, previous operations, available tissue, neck movement and blood supply.

Plastic Surgeons Available

• Dr. Aniljith VG – 37+ years of experience; listed as a Plastic Surgeon. 

• Dr. Pradeep Kumar – 30+ years of experience; Consultant Plastic & Reconstructive Surgeon and trained in microsurgery. 

• Dr. Jyoshid RB – 22+ years of experience; Consultant Plastic Surgeon. 

• Dr. Ajai KS – 16+ years of experience; Consultant Plastic Surgeon.

• Dr. Vinu Roy – 16+ years of experience; his listed interests include extremity trauma reconstruction and limb-salvage surgery.

• Dr. Prince HP – 10+ years of experience; Consultant Plastic, Reconstructive & Aesthetic Surgeon, with interests including reconstructive plastic surgery, burn care and scar revision.

About the Proposed Arterial Flap

An arterial flap can be considered in complex reconstruction when suitable tissue with a reliable blood supply is required. In your situation, because you have already undergone three reconstructive procedures, the surgeon should carefully evaluate the previous scars, available donor tissue, blood vessels and neck movement before deciding which flap is safest and most suitable.

Overall, the hospital appears to have a substantial plastic and reconstructive surgery setup, including experienced surgeons and microsurgical facilities. Given your previous three surgeries, We would recommend getting a detailed second opinion from an experienced reconstructive plastic surgeon before committing to another operation.

Wishing you and your family good health always.
Warm regards,
Team HexaHealth