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Showing posts from April, 2021

ALT Flap for recurrent parotid tumor

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Recurrent Parotid tumor Defect after excision of tumors Neck dissection Parotid gland bed  ALT flap after inset 49 year old female suffered recurrent parotid tumor and developed a satellite lesion . She  came to India in search of treatment . Here Onco surgeon excised the entire tumor and satellite nodule with clear margins and ALT free flap was used for reconstruction. Free ALT flap was anastomosed to facial artery and branch of IJV. Drains were placed in anterior neck and post triangle. Dr Adhishwar Sharma MBBS,MS General Surgery PGIMER Chd Mch Plastic  Surgery Fellowship in hand and microvascular Surgery 8860650846  

Recurrent tumor and reconstruction of mandible and palate

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Defect after resection Radiotherapy changes Palatal defect Mandibular reconstruction Flap vessels anastomosis After closure  Dr Adhishwar Sharma MBBS,MS General Surgery, Mch Plastic Surgery Fellowship in microvascular surgery 8860650846,

subclavian artery repair

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Previous surgery scar Old failed repair site After debridement of repair site   After repair wit reversed saphenous vein graft 14 year old boy suffered bullet injury during celebratory firing . He suffered subclavian artery injury, he under went emergency artery repair which failed in due course of time.  Subclavian artery repair done by reverse saphenous vein graft. Boy got injured by bullet injury and repair was done which failed. After surgery pulse returned in patients operated arm.  Dr Adhishwar Sharma MBBS,MS,Mch plastic surgery 8860650846