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LASUTH Makes Another Giant Stride in Microvascular Tissue Transfer

The Lagos State University Teaching Hospital (LASUTH) continues to make giant strides in improving lives with its vison to be a centre of excellence in healthcare delivery; LASUTH has over the years provided high quality tertiary healthcare services to patients across the country and beyond. It is no gainsaying that the teaching hospital, which is now positioned as a quaternary hospital, has continually promoted the development of cutting-edge surgical expertise to deliver the best possible outcome.

Several high-end health solutions have been delivered thereby saving many lives and enhancing the quality of living. Amongst numerous deliveries of such is the Microvascular Free tissue transfer in Head and Neck.

According to Dr. Eyituoyo. M. Okoturo, Head of Maxillofacial Surgery Unit of the Dental Department, LASUTH; most malignant tumors of the head and neck cannot be adequately treated without extensive surgery that leaves large disfiguring defects.

Reconstruction has evolved over the last century from the mere filling up of defects with local or regional flaps to microvascular free tissue transfer to ensure precise facial contour and restoring of function.

He explained that this technique involves the transfer of a distant tissue (donor tissue) along with its vascular supply to a recipient site (defect site) of the same patient and re-establishing donor tissue blood flow from the recipient blood vessels by microvascular re-anastomosis of both sets of blood vessels (i.e., donor and recipient arteries & veins) with the use of an operating microscope. It provides the advantage of precise reconstruction of defects that ordinarily are not feasible with local flaps. Because of the technical difficulty associated with today’s facial reconstruction, it is now usually assisted with the use of computer-aided designs – computer-aided manufacturing (CAD-CAM) for bespoke reconstruction. LASUTH is not left out in the advancement of this cutting-edge practice.

LASUTH is presently the only hospital in Nigeria and one of the only 2 in Sub-Saharan Africa providing this mode of treatment.

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