Critical Cases
52 years old male suffering from advance left buccal mucosa carcinoma involving mandible and upper alveolus extending to outer cheek skin.patient has extensive bilateral tuberculosis and treated with AKT for 6 months.patient has 60 % lung function capacity.Left modified neck dissection with left hemimandibulectomy with left upper alveolectomy with wide excision of left buccal mucosa growth with outer cheek skin with reconstruction by bilobe PM flape done
52 years old male suffering from right palatal carcinoma not involving infra orbital flape.
CT scan shows palatal growth involving soft palate with few subcentimezer nodes.Right level
1 to 4 neck dissection with right subtotal maxillectomy with right temporalis flape was
done.