Critical Cases
40 years old male suffering from left buccal mucosa carcinoma .the lesion is nearer to lower gb sulcus and also nearer to upper gb sulcus.ct scan shows level 1 lymphadenopathy.All other investigations are normal.left radical neck dissection with left
marginal mandibulectomy with left upper alveolectomy with left pectoralis major myocutaneous flape done.
33 years old male suffering from advance right lateral margin anterior 2/3 and middle 1/3 tongue growth involving floor mouth.ct scan shows 3.5n 8 3.0 cm growth approaching to midine but not crossing midline.Right radical neck dissection with right segmental
mandibulectomy with wide extended right hemiglossectomy with right pectoralis major myocutaneous flape done.
FEMALE AGED 62 YEARS OLD SUFFERING FROM LEFT LATERAL ANTERIOR 2/3 AND MIDDLE 1/3 TONGUE GROWTH INVOLVING MIDLINE.CT SCAN SHOWS GROWTH IS NOT INVOLVING FLOOR MOUTH.NO SIGNIFICANT LYMPHADENOPATHY.LEFT RADICAL NECK DISSECTION WITH LEFT WIDE EXCISION OF TONGUE
GROWTH WITH PRIMARY CLOSURE DONE.
48 YEARS OLD MALE SUFFERING FROM RIGHT LOWER GB SULCUS CARCINOMA.GROWTH WAS INVOLVING LOWER MANDIBLE FROM SECOND PREMOLAR TO RAMUS OF MANDIBLE.RIGHT RADICAL NESK DISSECTION WITH RIGHT HEMIMANDIBULECTOMY WITH RIGHT PECTORALIS MAJOR MYOCUTANEOUS FLAPE DONE.RECOSTRUCTION
IMAGE IS THERE.
56 years old female suffering from midline sub mental ulcerative growth.patient was operated twice for left buccal mucosa carcinoma before 8 years.Wide excision of midline sub mental mass with re onset of left forehead flape done.
44 YEARS OLD MALE SUFFERING FROM RIGHT RETROMOLAR TRIGONE CARCINOMA WITH EXTENSION OF GROWTH TO RIGHT CHEEK SURFACE.CT SCAN SHOWS MULTIPLE ENLARGED NODES ON RIGHT SIDE OF NECK.RIGHT INTERNAL JUGULAR VEIN IS INVOLVED IN MASS.RIGHT RADICAL NECK DISSECTION
WITH WIDE EXCISION OF RIGHT CHEEK SKIN GROWTH WITH RIGHT DISTAL MANDIBULECTOMY WITH RIGHT BILOBE PECTORALIS MAJOR MYOCUTANEOS FLAPE DONE.
42 YERAS OLD MALE SUFFERING FROM LEFT RETROMOLAR TRIGONE GROWTH WITH RESTRICTED MOUTH OPENING.CT SCAN SHOWS GROWTH IN RETROMOLAR TRIGONE INVOLVING LOWER GB SULCUS AND APPROCHING TO UPPER GB SULCUS.CT SCAN SHOWS LEVEL 1 AND 2 NECK LYMPHADENOPATHY.ALL OTHER
INVESTIGATIONS ARE NOEMAL.LEFT RADICAL NECK DISSECTION WITH LEFT DISTAL MANDIBULECTOMY WITH LEFT UPPER ALVEOLECTOMY WITH RECONSTRUCTION OF DEFECT WITH LEFT PM FLAPE.
40 years old female suffering from right lateral margin anterior 2/3 tongue growth.HPE shows well differentiated squamous cell carcinoma.Ct scan shows well defined growth with non specific lymph adenopathy.Right radical neck dissection with wide excision
of tongue growth done
73 YEARS OLD MALE SUFFERING FROM LEFT FRONTO PARIETAL AREA SCALP CARCINOMATOUS GROWTH SINCE 6 MONTHS.HISTOPATHOLOGY SHOWS IT IS WELL DIFFRENTIATED SQUAMOUS CELL CARCINOMA.PET CT SHOWS BOTH LUNGS VERY BTINY NODULES WITH SUV OF 4.6,BILATERAL TNTRAPAROTID
ARAE SHOWS INTRAPAROTID NODES WITH SUV OF 11.6.CLINICALLY PATIENT HAS NO SYMPTOMS.WIDE EXCISION OF SCALP GROWTH WITH STG AND LEFT SOHND DONE
59 years old male suffering from right pyriform fossa carcinoma involving right AE fold and right vocal cord .Growth was involving right lateral pharyngeal wall .right neck nodes are metastatic .Laryngectomy with Pharyngectomy with right neck nodes clearance
with left PM flape for pharyngoplasty done.
37 YEARS OLD MALE SUFFERING FROM ADVANCED LEFT BUCCAL MUCOSA CARCINOMA EXTENDING TO OUTER CHEEK SKIN.PATIENT WAS GIVEN TWO CYCLES OF NEOADJUVANT CHEMO THERAPY.NO RESPONSE WITH CHEMOTHERAPY.CT SCAN SHOWS DISESE INVOLVING UPPER AND LOWER GB SULCUS.LEFT
RADICAL NECK DISSECTION WITH LEFT DISTAL MANDIBULECTOMY WITH LEFT LOWER PARTIAL MAXILLECTOMY WITH BILOBE PECTORALIS MAJOR FLAPE KEPT.
