york repair in penoscrotal hypospadias









 

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Andy Bump deformity Anterior mandibular reconstruction

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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...
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Subglottic Stenosis and cricotracheal resection and reconstruction

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Sub glottic stenosis is very disabling condition . Patient presents with breathlessness ,loss of voice, in case of complete stenosis patient may need permanent tracheotomy to live. This is a story of young boy aged 12 years ,4 years back he suffered road side accident resulting loss of speech and  permanent tracheostomy. When the patient come fiberoptic bronchoscopy was done to ascertain level of level of block. CT scan was done to visualise the anatomy. patient was taken up for surgery and planned for excision of stenosis and lyrngeotraceeal reconstruction. Flap raising intense fibrosis Thyrotomy done and site of anastomosis exposed Proximal end of anastomosis  Distal end of anastomosis Two ends separated  Posterior wall sutures taken over ET tube closed with Sternocleidomastoid muscle over it.  Sternocleidomastoid muscle flap strap muscle closed 7 day post op video showing ability of boy speak ...
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burnt hand release and groin flap

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pre operative and post operative photo showing improvement hand span .          Pre op deformity post operative photo 3 months note hand span pre operative dorsal photo Post operative dorsal view improvement in hand deformity and hand function as evident in these photo Release and groin flap cover groin flap during dressing hand function 26 year old male who suffered burn in childhood and developed hand contracture . It disabled him limiting span of hand and doing dexterous task. He was advised surgery, contracture release . Upon releasing contracture it was found that the all the tendon and and nerve were bare . So decision was taken to do groin flap. Groin flap was divided after 3 weeks . once the wound healed physiotherapy was started.  Dr Adhishwar Sharma MBBS,MS PGIMER Chd Mch Plastic Surgery Fellowship in microvascular and hand surgery Brahmanandclinic.com ,8860650846 adhishw...
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