Microvascular transfer of fibula for mandibular reconstruction
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Transcript of Microvascular transfer of fibula for mandibular reconstruction
MICROVASCULAR TRANSFER OF FIBULA FOR MANDIBULAR RECONSTRUCTION
Shailesh NisalAmit jaiswalParikshit janaiSparsh Clinics Nagpur Indiawww.sparshclinics.com
WELL DIFFERENTIATED SQUAMOUS CELL CARCINOMA ALVEOLAR MUCOSA T4 N0 M0
WIDE LOCAL EXCISION + BILATERAL NECK DISSECTION – FLOOR MOUTH, MANDIBULAR SEGMENT SKIN PADDLE EXCISED
PECTORALIS MAJOR MYOCUTANEUS FLAP FOR LINING
OSTEOCUTANEUS FIBULA FOR REPLACEMENT OF MANDIBLE AND OUTER SKIN PADDLE
MANDIBULAR ARCH FORMED IN SITU
DONOR AREAS AND FEEDING GASTROSTOMY
2 WKS – HEALING BY PRIMARY INTENSION, MOUTH OPENING IMPROVING
MULTILOCULAR AMELOBLASTOMA MANDIBLE
CENTRAL SEGMENT OF BICORTICAL MANDIBLE FRAGMENTED
PLANNING AND MARKINGS
MANDIBULAR EXCISION UNDER A BIPEDICLE FLAP MOVED AS BUCKET-HANDLE
EXCISED SPECIMEN
VASCULARIZED FIBULA HARVESTED WITH THE PERONEAL PEDICLE
MANDIBULAR OSTEOTOMIES, SHAPING, STABILIZED WITH TITANIUM MINIPLATES
SATISFACTORY HEALING AND GOOD CONTOUR
MOUTH CLOSURE AND OPENING
THANKS
Shailesh NisalAmit JaiswalParikshit JanaiPrashant BowteSparsh Clinics Nagpur Indiawww.sparshclinics.com