Post radiotherapy buccal mucosa cancer excision and reconstruction


Recurrent tumor
anterior view
surgical team doing resection
flap being insetted


vessel anastomosis in contra lateral vessel




before closure

next day ICU





reconstructive and onco surgeon in a team to serve patients in best possible way
Me with Dr kaushal 
post op day 3

A 40 year old male with recurrent squamous cell carcinoma . First surgery was done 5 years back and subsequently patient under went radiotherapy . Radiotherapy is very unforgiving to tissues it becomes hard and stiff. Vessel dissection becomes is difficult or hazardous . Patient was planned for surgery and tumor was excise with adequate margins . Anterior and lateral mandible was reconstructed free fibula flap . Paroneal vessel were connected to contra lateral neck vessels.








Dr Adhishwar Sharma
MBBS,MS  General Surgery PGIMER Chd
Mch Plastic Surgery
Fellowship in hand and microvascular surgery
brahmanandclinic.com
8860650846






Comments

Post a Comment

Popular posts from this blog

Andy Bump deformity Anterior mandibular reconstruction

Image
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...
Read more

Mandibular reconstruction for Osteo Radio necrosis of mandible

Image
  Chin deviation Exposed dead mandible                                       Patient painted and draped                                        Fibula skin paddle marked                                                                   Microvascular anastomosis to contralateral facial vessels  Fibula being plated                                                    Paroneal vessels attached to facial vessels Dr Adhishwar Sharma  MBBS,MS Gen Surgery PGIMER Mch Plastic Surgery Delhi universi...
Read more