Personalized Treatment Plan:

After imaging to assess defect size and location, Dr. Singhavi chooses the flap that best balances reliability and donor-site preservation. Under general anesthesia:

1. Flap Design & Harvest – Incisions are planned along natural creases; the pedicle is dissected carefully to preserve vascular integrity.
2. Tunnel Creation – A subcutaneous tunnel is fashioned to reach the recipient site without tension on the pedicle.
3. Flap Inset – The tissue is draped to fill the defect, ensuring adequate lining or external coverage.
4. Donor-Site Closure – Primary closure or skin grafting as needed.

Patients receive antibiotics and analgesics postoperatively, with early mobilization to prevent shoulder stiffness.

Benefits :

• Shorter Operative Time: No microsurgical anastomosis, reducing complexity.
• High Reliability: Native blood supply remains intact throughout transfer.
• Good Tissue Match: Color and texture similarity for facial and pharyngeal reconstruction.
• Lower Resource Requirement: Suited for patients who may not tolerate longer microsurgical procedures.