Critical Cases
47 years old female suffering from Right upper GB sulcus and alveolus carcinoma eroding the alveolar arch.CT scan shows level I II nodal enlargement.Right modified neck dissection with Right upper alveolectomy with right upper GB mucosal excision with
right palatal flape with right nasolabial flape done
42 years old male suffering from left upper alveolus and left upper GB sulcus carcinoma.HPE shows sarcomatoid carcinoma .MRI shows growth involving inferior maxillary wall and medial pterygoid muscle .left modified neck dissection with left near total
maxillectomy with left PM flape done.
67 years old female suffering from left breast advance growth.HPE shows Invasive ductal carcinoma .left Axilla shows multiple metastatic nodes adherent to left axillary vein.Left modified radical mastectomy with primary closure done.
70 years old male suffering from left post 1/3 tongue carcinoma invading muscle of floor mouth.patient has left level 2 & 3 positive neck nodes.left modified neck dissection with left distal segmental mandibulectomy with wide excision of posterior 1/3
tongue growth with floor mouth growth excision with left Pectoralis major flape done.
42 years old male suffering from left upper alveolus and GB sulcus carcinoma.HPE shows sarcomatoid carcinoma.MRI shows growth involving inferior maxillary wall and medial pterygoid muscle.Left modified neck dissection
70 years old female suffering from left medial parth of thigh skin cutaneous malignancy with prepuertal cutaneous nodules.patient was operated for left extended vulvectomy with left inguinal node clearance.it was reported T3N1M0. Radiation was planned
but unfortunately before start of radiation patient has recurrence at local site.so wide excision of all cutaneous malignant nodules with coverage of raw area with advancement of flape with STG done.
77 years old male suffering from left maxillary tumour.The tumour was eroding ant and post wall of maxilla.Patient was operated for left lower GB sulcus carcinoma in 2021.Today left total maxillectomy with forehead flape done
61 years old male suffering from right lateral ant 2/3 tongue carcinoma involving floor mouth.patient was operated in 2019 for right buccal mucosa carcinoma with ALT flape.post op RT was given.in 2021 left buccal mucosa carcinoma T1 lesion wide excision
was done .Left SOHND done.This time right segmental mandibulectomy with right extended hemiglossectomy with right PM flape done.
46 years old female suffering from left upper outer quadrant breast lump.lumpectomy was done outside.it is reported invasive ductal carcinoma .other investigations are normal.considering tumour size left upper outer extended quandrectomy with axillary
clearance with LD flape done.
80 years old female suffering from left breast mass in upper and inner quadrant with blood discharging sinus.mass was 6 cm * 6cm involving skin.Usg shows no lymphadenopathy .x ray chest is normal.left modified mastectomy with primary closure done.
55 years old male suffering from right buccal mucosa carcinoma extending in right retro molar trigone.Right modified neck dissection with right distal mandibulectomy with right upper alveolectomy with right pectoralis major flape done.
46 years old female suffering from right lower gingivobuccal carcinoma without invasion of mandible.ct scan shows lesion is 1.5cm* 2.0cm. No neck lymphadenopathy .Right modified neck dissection (preserving sternocledo mastoid and spinal accessory nerve)
with right marginal mandibulectomy with right nasolabial flape done.
40 years old female suffering from advance right buccal mucosa carcinoma invading outer cheek skin.Right mandible was eroded.right radical neck dissection with right hemimandibulectomy with right lower partial maxillectomy with right cheek growth excision
with bilobe PM flape done.
70 years old female suffering from multi centric right breast tumour.true cut biopsy shows is is ductal carcinoma .patient is diabetic and hypertensive.Right modified radical mastectomy with rotation flape to cover the chest wall done.
46 years old female suffering from left breast lump since 15 months.left breast lumpectomy was done before 1year.HPE shows left breast phylloid tumour.after then patient had again tumour in left breast at same site.FNAC shows phylloid tumour.left breast
extended lumpectomy done.HPE shows malignant phylloid.Again left breast modified mastectomy with left KD flape was done
49 years old male suffering from right lateral margin tongue growth .Growth is not crossing midline.Ct scan shows growth on lateral margin without invasion of floor mouth.right modified neck dissection with right lateral margin tongue growth excision
with primary closure done
68 years old male suffering from left neck metastatic nodal mass involving left internal jugular vein and left Internal carotid artery.Primary was in left pyriform fossa.pet ct shows metastatic nodal mass in neck with primary in left PF.left modified
neck dissection with left IJV excision with left PM flape done.
55 years old male suffering from left lateral margin tongue growth .growth was touching to midline and involving the floor mouth and left GB sulcus.There was big submandibular nodal mass which was involving the diagastric and mylohoid muscle.left modified
neck dissection with left segmental mandibulectomy with left extended hemiglossectomy with submandibular mass excision done.Defect was closed with pectoralis major flape.
50 years old male suffering from right lower GB sulcus carcinoma involving central arch.patient was operated for left lower GB sulcus carcinoma before 1year.at that time segmental mandibulectomy with free fibular graft was made.right lower FB sulcus growth
was involving fibular graft also.right extended hemimandibulectomy with central arch of mandible excision with fibular graft removal with closure of defect was done with bilobe PM flape done
50 years old female suffering from right breast lump since 2 months.Lump was in outer and upper quadrant of breast.right modified radical mastectomy with breast reconstruction with right LD flape done.
83 years old female suffering from left breast lump since 3 months.lump was suddenly increase in size.FNAC shows breast carcinoma .usg of liver and axilla were normal .left modified radical mastectomy was done.
53 years old male suffering from right buccal mucosa advanced carcinoma .Growth was involving outer cheek skin.right mandible was eroded.Right modified neck dissection with wide excision of right cheek growth with buccal mucosa with right hemimandibulectomy
with bilobe pectoralis major flape done.
58 years old male suffering from left pyriform fossa growth extending in to posterior pharyngeal wall.patient had two attacks of CV stroke.patient is known case of diabetes and hypertension .Laryngectomy with pharyngectomy with posterior pharyngeal growth
excision with patch pharyngoplasty with left pectoralis flape done
57 years old male suffering from right neck node mass which was very badly adherent with right common carotid artery.Right IJV was completely involved.right extensive nodal clearance with right RND done.Right IJV was removed.vessels were covered with
right pectoralis muscle.
39 years old female suffering from right breast upper and outer quadrant mass.USG axilla shows single necrotic node.Rest of the investigations are normal.Right upper and outer quadranctetomy with axillary clearance with right LD flape done
39 years old male suffering from right buccal mucosa carcinoma locally advanced and involving outer cheek .ct scan shows erosion of mandible .level 1 neck node is necrotic.patient has complete trismus.right modified neck dissection with right hemimandibulectomy
with right lower partial maxillectomy with wide excision of right cheek growth with bilobe PM flape was done.
56 years old female suffering from left vulval carcinoma extending to peri urethral area.left inguinal nodes are necrotic.left inguinal node Clearance with left extended vulvectomy with rotation local flape done.