Squamous Cell Carcinoma Lip Excision & Reconstruction (Case 10)

Squamous Cell Carcinoma Lip Excision & Reconstruction (Case 10)

Carcinoma Lip: This is the third case in the series of Lip Reconstruction for Squamous Cell Carcinoma. This patient had a large exophytic lesion on left side of lower lip involving its full thickness. Supraomohyoid Neck dissection was done prophylactically for N0 neck. Wide local excision was done removing the full thickness of lip along ...

Oral Commissure Reconstruction (Case 9)

Oral Commissure Reconstruction (Case 9)

This is the second case in the series of Lip Reconstruction. A new technique combining A-T flap for functional reconstruction of the oral commissure is depicted. Commissure reconstruction is a challenging and difficult problem because of vital esthetic and functional significance of Oral commissure.  Leukoplakia of commissure is very frequently seen in bidi smokers. It ...

Carcinoma Lip Excision & Reconstruction with Abbe Flap (Case 8)

Carcinoma Lip Excision & Reconstruction with Abbe Flap (Case 8)

Carcinoma Lip: This is one of the first case in Lip Reconstruction series. Rare case of Mucoepidermoid carcinoma arising from minor salivary glands in lips. Wide local excision with Intraoperative pathology (Frozen Section) was done under GA . The resulting defect was reconstructed with Abbe Rotation flap. Excellent healing was observed with Microstomia or Commisure ...

Case 7 : Frontal Deformity (Post Trauma)

Case 7 : Frontal Deformity (Post Trauma)

Dear Friends! It’s a relatively straight forward case but I am posting it as a Badge of honor and an instance of personal pride. This is because he was brought to me by Neuro-Surgery HOD himself, who incidentally happens to be a Retired Professor from my ‘alma mater’. Dileep(Patient) had suffered multiple injuries while riding his ...

Case 6: Crush Injury Face

Case 6: Crush Injury Face

Dear Readers I hope this is not too gruesome & blood-soaked for you because I had not seen a real eyeball popping out of its socket in somebody alive. I can still easily recall what happened that day…There was a call from casualty that a Facial trauma patient needs urgent attention and also that it ...

Case 5 Gigantic Pleomorphic Adenoma of Parotid

Case 5 Gigantic Pleomorphic Adenoma of Parotid

During the winter of 2016 on a Monday morning, four rustic people were sitting outside our FacioMaxillary Surgery OPD. All of them had covered their faces with scarves which is a common tradition in north India and it was difficult to make out who is the patient amongst them. As soon I had entered the ...

Case 3: Squamous Cell Carcinoma Palate

Case 3: Squamous Cell Carcinoma Palate

It was one of my earlier patients as Consultant Maxillofacial Surgeon. This 40year old man was referred by a Dentist friend for the chief complaint of Non Healing Ulcer on palate. The patient gave history of Tabacco Chewing and Smoking since 7 years. Clinically it was a superficial ulcer on the Palatal Gingiva of right ...

Case 2 : Aggressive Cherubism in 9 year old girl

Case 2 : Aggressive Cherubism in 9 year old girl

 It doesn’t happen frequently that an intense desire to help a fellow human has be balanced out with the risk of  inadvertently causing much greater damage including loss of life. Krishna was one of those patients for whom all of my team had felt a deep desire that we should help this child but I ...

Maxillofacial Surgeons

Maxillofacial Surgeons

Who is a Maxillofacial Surgeon? Maxillofacial Or FacioMaxillary Surgeons are clinicians who have the ideal skill set to optimally manage the entire spectrum of head and neck and CranioMaxilloFacial (Head, Jaws & Face) problems in a unique manner that is most beneficial to the patient. This unique skillset is acquired through advanced surgical training which ...

Case 1 Complex Orbital Zygomatic Fractures

Case 1 Complex Orbital Zygomatic Fractures

Complex Orbital Zygomatic Fracture It is not often that Maxillofacial Surgeon is called for a patient who is unable to open his eye. Probably all other consults were done (Neurology & Opthalmology) and the problem was still unresolved. Finally this 20year old gentleman was referred by Neurosurgery Colleagues for Maxillofacial Opinion. CT scan showed displaced ...

Consideration for treating Pregnant Oral Surgical patients

Consideration for treating Pregnant Oral Surgical patients

Pregnancy is an emotionally charged experience for the mother and thus establishing a good surgeon-patient    relationship goes a long way in reducing stress and anxiety for the patient. ...