Andy Bump deformity Anterior mandibular reconstruction

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 problems of eating and drinking . Speech was also affected. He come to India where we operated . Anterior jaw reconstruction was done with vascularized fibula and fixed with 2mm plates.Dr Ashish Garg maxillofacial surgeon assisted in getting right shape.Patient had tracheostomy which was removed post op day 5.

Once wound have healed and swelling settled patient will be planned for dental rehabilitation.

Dr Adhishwar Sharma 

MB,BS, MS General Surgery PGIMER Chd

Mch Plastic Surgery 

Fellowship in Hand and microvascular surgery

8860650846, adhishwar7@gmail.com

brahmanandclinic.com