brahmanand clinic 2

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 vascular pedicle pre op photo intra oral reconstruction Post op day 2 with tracheostomy in situ A 40 year old Afghan soldier was hit with a  bullet injury 3 years back , in Mazar a Sharif Afghanistan . He lost anterior part of jaw and developed severe