Critical Cases
47 years old male having left lateral margin tongue carcinoma .patient was operated for left lateral margin tongue carcinoma excision with left RND.patient was radiated .During radiation patient developed right neck node for that right RND done.Radiation
completed before 1 year.now patient had right post auricular metastatic growth.Wide excision with scalp rotation flape was done.
42 years old lady suffering from right breast lump with axillary nodes.MR PET shows mass in right breast with axillary metastatic nodes.Right modified radical mastectomy with right lattisimus dorsi flape done.
55 years old female suffering from right buccal mucosa carcinoma since 1 year.CT scan shows Growth involving external cheek skin.Remaining all reports are normal.Right modified neck dissection with right marginal mandibulectomy with right bilobe PM flape
done.
42 years old male suffering from right buccal mucosa and right retromolar trigone growth involving lower part of maxilla.patient was given six cycles of neoadjuvant chemotherapy.Right level 2 neck node was regressed but skin was involved .Right radical
neck dissection sparing sternocledo muscle and preserving port with right distal mandibulectomy with right RMT and buccal mucosa growth excision with lower partial maxillectomy with right PM flape done.
56 years old male suffering from left lateral margin tongue posterior 1/3 carcinoma.patient was operated for right lower Gingivo buccal carcinoma in 2014.patient was radiated post operatively.patient is diabetic ,hypertensive and hypothyroid.patient has
ischemic heart disease. Left radical neck dissection with wide excision of left lateral post 1/3 tongue growth excision done with primary closure.
32 years old male suffering from right buccal mucosa growth which shows verrucus carcinoma.Pet ct shows level 1 and 3 uptake.Right modified neck dissection with right buccal mucosa growth excision with right pectoralis major myocutaneous flape done.
30 years old male suffering from left buccal mucosa carcinoma involving lower GB sulcus.Left radical neck dissection with left segmental mandibulectomy with left PM flape done
76 years old male suffering from left infra auricular cauliflower growth since 1 year.patient has chronic renal failure with diabetes.His creatine remain 3.2.Biopsy shows basal cell carcinoma.after consulting Nephrologist with all precaution wide excision
of growth done with primary split thickness skin graft.post operative recovery was normal
62 years old male suffering from left palate carcinoma .patient was operated for left lower gb sulcus carcinoma .in 2020 left commando with reconstruction with free fibular graft done.today near total maxillectomy with reconstruction with left forehead
flape done.
45 years old male suffering from advanced right buccal mucosa carcinoma involving outer cheek skin.Right radical neck dissection with right distal mandibulectomy with outer cheek skin excision with upper alveolectomy with bilobe pectoralis major myocutaneous
flape done