22/08/2026
In this episode, Dr. Deepak Rathore, Senior Consultant in Plastic and Reconstructive Surgery at Yatharth Super Speciality Hospital, Greater Noida West, presents a case that tests the limits of what a multidisciplinary oncology team can achieve for a patient who had already been turned away by multiple hospitals.
The patient arrived with cancer of the right oral cavity. This was not a first-time diagnosis. Three years earlier, the same patient had been treated for cancer in the same region and had undergone surgery at that time. The recurrence in the same site, combined with the patient's prior surgical history, created a clinical scenario so complex that several hospitals declined to take the case.
The surgical oncology team first performed the cancer resection, removing the tumor from the oral cavity. What followed was the reconstructive challenge: the surgery had left a significant defect in the oral cavity that needed to be rebuilt in a way that would restore both function and structure.
Dr. Rathore and his plastic surgery team performed a free flap reconstruction. This is a technique in which tissue, including skin, muscle, and blood vessels, is harvested from another part of the patient's own body and transplanted to the site of the defect. The blood vessels are then reconnected under a microscope in a process known as microvascular anastomosis, giving the transplanted tissue its own blood supply in its new location. Free flap reconstruction is currently the most advanced and reliable method available for rebuilding complex defects after oral cancer surgery, particularly in cases involving prior surgery and scarring.
The patient recovered well, was discharged 15 days after surgery, and returned to their home country within a month.
Dr. Deepak Rathore holds an MCh in Plastic Surgery and an MS in General Surgery. He brings specialized expertise in microvascular surgery, oncology reconstruction, maxillofacial trauma, and burn injuries.
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