WHAT IS A FREE FLAP?

A free flap is a tissue graft that contains an arterial and venous blood supply. The tissue graft, along with its artery and vein, is lifted from a donor site (usually the arm, leg, abdomen or back), and then it is transferred to the area which needs reconstruction. The surgeon then reconnects the artery and vein of the tissue graft to the carotid artery and jugular vein in your neck in order to re-establish blood flow within the flap. Facial Plastic and Reconstructive Surgeon, Dr. Amit Kochhar, is one of a select few surgeons in the Los Angeles region with expertise performing microvascular surgery of the head and neck for reconstruction of defects related to cancer and trauma.

If you are a candidate for microvascular free flap reconstruction you may be asked to undergo preoperative imaging to assess the blood flow in your arms or legs. Following surgery, you will be admitted to the Intensive Care Unit (ICU) for several days to monitor the free flap blood supply and outflow. You will have a dedicated team of physicians, nurses, and therapists who have specific expertise in caring for patients undergoing these complex procedures. You will also be empowered to participate in your care plan as part of novel Early Recovery After Surgery (ERAS) protocol.

WHO CAN HELP ME COPE WITH MY CANCER AND SURGERY AND ITS EFFECTS ON MY LIFE?

The Head and Neck physicians and nurses are very aware of the potential effects of cancer and surgery on your quality of life. We are aware of your concerns regarding the emotional limitations and impact on your appearance that may be imposed by surgery. We want to elicit your input on the effects of free flap surgery on swallowing, speech, activities of daily living, appearance and overall quality of life. In addition, we have social workers and chaplains who will be available to assist with your fears, anxiety, spiritual distress and other issues. They will assist you and your family as needed. We can also provide you with resources in your community, which offer additional services that you may need.