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