brahmanand clinic 2

Defect after resection Radiotherapy changes Palatal defect Mandibular reconstruction Flap vessels anastomosis After closure  Dr Adhishwar Sharma MBBS,MS General Surgery, Mch Plastic Surgery Fellowship in microvascular surgery 8860650846,

  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...

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...