Andy gump deformity is loss of anterior mandibular segment due to trauma ,infection or tumor resection. It is named after a famous cartoon character in USA . Best way to reconstruct is to do a microvascular reconstructive surgery. Osteocutaneous fibula is harvested on peroneal vessel , shaped into desired form and transferred. Microvascular anastomosis is done to local available vessel. Flap is monitored for 5 days .Subsequently patient is discharged . Tracheostomy if done is removed at day 5. At two weeks Fibula with blood vessel vasc...
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