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...
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
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