This chapter considers the problem of residual facial deformity and poor results in patients treated by a wide range of specialties for cancer of the head and neck. From modern military trauma research, we know that facial deformity is feared more than any other disfigured body part. A double burden exists with the fear of cancer recurrence and unaesthetic reconstructive results. Plastic surgeons are uniquely placed to confront and manage the unsatisfactory result but the psychological scars and loss of confidence in the patients must never be underestimated. As Sir Harold Gillies once remarked: ‘My surgery may not be lifesaving, but it is life-giving’.
- Make a plan and a pattern for the plan
- Aesthetic reconstruction
- Avoiding the stigma of deformity