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...
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...
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