Hemifacial reconstruction with ALT flap
50 year old male from Ghana case of squamous cell cancer buccal mucosa
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| pre op cancer wound |
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| after resection |
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| ALT flap insitu |
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| vascular anastomosis |
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| after two days |
MBBS MS Mch Plastic Surgery
8860650846
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 vasc...
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