facial reconstruction by TFL Flap
Andy Bump deformity Anterior mandibular reconstruction
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 vascular pedicle pre op photo intra oral reconstruction Post op day 2 with tracheostomy in situ A 40 year old Afghan soldier was hit with a bullet injury 3 years back , in Mazar a Sharif Afghanistan . He lost anterior part of jaw and developed severe
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