Critical Cases
42 years old male suffering from right buccal mucosa carcinoma approaching upper GB sulcus.CT scan shows level 1 lymphadenopathy .Right modified neck dissection with wide excision of right buccal mucosa growth with right nasolabial flape done.
65 years old male suffering from left buccal mucosa carcinoma.patient had liver transplant before 20 years .patient is on immunosuppressant .patient was radiated for left buccal mucosa carcinoma before 8 months.Pet ct of 15 days back lesion in left buccal mucosa and approaching to upper GB sulcus.no metabolically active neck nodes.so wide excision of left buccal mucosa growth with upper alveolectomy it’s reconstruction with left nasolabial flape done.
61 years old male suffering from right distal medial end osteoradionecrosis .patient was operated for central arch lower GB sulcus carcinoma and was operated left radical neck dissection with central arch mandibulectomy with floor mouth growth excision with left PM flape done in 2021.Now patient developed right distal medial mandibular end radionecrosis was excised by marginal mandibulectomy with reconstruction by nasolabial flape done.
80 years old male suffering from right buccal mucosa carcinoma with anterior 2/3 tongue lesion.patient was operated for central arch lower GB sulcus carcinoma .central arch mandibulectomy with reconstruction with bilobe PM flape done before 1 year.Right buccal mucosa growth excision with right nasolabial flape with right anterior 2/3 tongue lesion excision done.
87 years old female suffering from advance left breast carcinoma having single solitary lesion in liver.in 2022 true cut biopsy done and ER PR HER2 are negative.USG SHOWS BIG AXILLARY NODES .left modified radical mastectomy with axillary clearance with primary closure done.
42 years old male suffering from left buccal mucosa carcinoma involving left cheek and mandible.ct scan shows multiple lymph nodes at level 1,2.left modified neck dissection with left hemimandibulectomy with left cheek growth with buccal mucosa growth excision with upper alveolectomy with bilobe PM flape .
47 years old male suffering from left buccal mucosa carcinoma not invading cheek skin or any upper or lower GB sulcus.left modified neck dissection with left buccal mucosa growth excision with reconstruction by pectoralis flape done.
42 years old female suffering from left breast mass involving nipple.True cut biopsy shows invasive ductal carcinoma.left modified mastectomy with axillary clearance with primary closure done.
47 years old male suffering from left lower ,upper lip with buccal mucosa recurrent carcinoma.patient was operated for left buccal mucosa carcinoma in 2017.CT scan shows cut end of mandible was eroded and subtle erosion of maxilla .wide excision of left lower lip upper lip buccal mucosa upper alveolectomy with reconstruction of defect with forehead flape done.
47 years old male suffering from left lateral margin post 1/3 tongue growth .MRI shows lesion is 2.5*1.7*1.5 cm in dimension.No significant neck nodes.Left modified neck dissection with left post post 1/3 tongue growth wide excision with primary closure done.
47 years old male suffering from left anterior 2/3 ans posterior 1/3 tongue carcinoma involving papillae and floor mouth.CT scan shows multiple neck nodes at level 1,2,3.left radical neck dissection sacrificing left spinal Nerve with left lateral segmental mandibulectomy with extended hemiglossectomy with floor mouth excision with reconstruction of tongue with pectoral flape done
49 yers old female suffering from left lower GB sulcus growth involving outer cheek skin with erosion of body of mandible.left modified neck dissection with left hemimandibulectomy with outer cheek skin growth with bilobe PM flape with primary skin grafting done.
57 years old male suffering from left lateral margin middle 2/3 and posterior 1/3 tongue carcinoma reaching up to midline.left modified neck dissection with left lateral segmental mandibulectomy with wide excision of left tongue growth with reconstruction ba pectoralis flape was done.
