Restoration, Reconstruction and Rehabilitation in Head and Neck Cancer

Dr. Vijay Haribhakti is currently Head of Department – Oncology, and Consultant Surgical Oncologist and Reconstructive Surgeon at the Sir H N Reliance Foundation Hospital, Mumbai. After his basic medical education and surgical training at the G.S. Medical College and KEM Hospital, Mumbai, he moved over to the Tata Memorial Hospital in 1984 and trained there for 5 years in Surgical Oncology. During this period, he developed special interest in the fields of Head and Neck Surgery and Reconstructive Surgery. He then proceeded for a fellowship under Prof. Jatin P. Shah on the Head and Neck Service, Memorial Sloan Kettering Cancer Center, New York; and to the Katholiek University, Belgium, where he acquired advanced microsurgical skills under Prof. Wily D. Boeckx. He has also trained at the Royal National Throat, Nose and Ear Hospital, London and with Prof. Wolfgang Steiner at Gottingen, Germany. In 1990, he was appointed as consultant at the Jaslok Hospital, Mumbai and subsequently at the Breach Candy Hospital and Saifee Hospital, where he eventually became the Chief of Surgical Oncology. He has had a distinguished academic career and has published numerous papers in National and International peer-review journals and has been on the teaching faculty of major national and international Head and Neck meetings since many years. His fundamental contribution to the literature came early in his career through an anatomical study on the adult human mandible, which was published in “Plastic and Reconstructive Surgery” in March,1996. His articles over the years have appeared in The American Journal of Surgery, Head and Neck, European Journal of Plastic Surgery and the Journal of Laryngology and Otology.  He has authored all chapters on Head and Neck Cancer in a book titled: “Practical Clinical Oncology” published in 2014 by Jaypee brothers in India. Innovation has been his passion since long, and he has developed original designs for a number of instruments and appliances. When still a resident, he designed an instrument (a laryngoscope with a calliper) that was developed by the Karl Storz Company, Germany. His major focus has been and continues to be Quality of Life, which has upheld his dual commitment to both resection and reconstruction, and which defines his current role as Oncology chief at the HN Reliance Foundation Hospital.

Introduction and Purpose.- Fundamental Planning: Excision.- Fundamental Planning: Reconstruction.- Functional Considerations.- Aesthetic Considerations.- Choosing the ‘Right’ Flap, using it the ‘Right’ Way.-Oral Cavity.- Region-wise.-Pharynx/Larynx: Neck.- Nose.- Mid-face.- Post-maxillectomy Reconstruction.- Eyelids.- Forehead.- Scalp.- Skull Base.- Trachea and Larynx.- Special Considerations: Previously Treated Patients.- Workhorse Flaps: Technical Details and Tips.- Local Flaps.- Regional Flaps.- Free Flaps.- Psychological Impacts of Major Treatment.- Common Causes of Morbidity: Prevention & Management.- Rehabilitation.- Palliative Care.