Vol. 9, Issue 1, Part D (2025)

Background: Plastic surgery enhances head and neck reconstruction as a necessary procedure for resource-constrained settings such as Bangladesh because advanced surgical methodologies remain out of reach. Plastic surgery serves essential functions for recovering both functional abilities and cosmetic appearance after oncological surgeries and traumatic injuries and birth defects. 
Objective: The research investigates head and neck reconstruction surgery through plastic surgery along with its effectiveness at a medical facility in Bangladesh. 
Methodology: This research examined the results of 50 previous operations through a study that evaluated patient characteristics combined with information about defect origins as well as operative methods along with postoperative effects. Postoperative data included evaluations of surgical achievement rates alongside improvements in functionality and patient satisfaction and complications experienced by the patients. All research data were analyzed in MS Excel and SPSS software. 
Result: The patient demographic included 33 males and 17 females who had an average age of 37.43±12.59 years. The three main reconstructive approaches were local flaps at 40% regional flaps comprised 36% and free flaps were utilized in 24% of cases. Among the reconstructive techniques, surgical outcomes were successful in 96% of cases and no differences were noted in terms of complications or patient satisfaction (p>0.05). Functional assessments demonstrated substantial improvement in speech functions (p=0.02) swallowing functions (p=0.03) and breathing functions (p=0.04). Patients evaluated their reconstructive results with excellence in 60% of cases. Minimal complications occurred after surgery where infection (8%), wound dehiscence (6%), donor site morbidity (4%), and flap necrosis (4%) had the highest rates of emergence. 
Conclusion: Plastic surgery serves as an efficient treatment method for head and neck reconstruction in areas with limited resources due to its substantial functional alongside aesthetic advantages. The research results demonstrate Bangladesh requires both better reconstructive procedures and increased surgical specialty care facilities throughout the country.