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...
35 year old diabetic male IDDM who suffered from mucormycosis two years ago ,he under went excision of maxilla,orbit and frontal lobe of brain. Part of nose was also excised , along palate . He had issues of palate which desired reconstruction ,sealing antero medial skull base ,orbital cavity reconstruction. Patient had unregulated diabetes which needed control. Patient was planned for surgery and TRAM flap was planned . After releasing all the contracture and facial vessels were prepared . TRAM flap was harvested and transferred ,palate was reconstructed ,orbital cavity and anterior skull base was sealed. orbital and maxillary defect visible palatal defect right side nose and nasal septum ...
Comments
Post a Comment