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Critical Cases
female aged 72 years suffering from left breast lump since 3 months.True cut biopsy shows ductal carcinoma.patient is diaebitic ,hypertensive and hypothyroidism.usg of liver and x ray chest are normal.Left modified radical mastectomy done.
19-05-2022
62 years old female suffering from recurrent left lateral margin tongue carcinoma. Growth was involvong lower GB sulcus .patient was operated in 2019.left MND with left lateral margin tongue growth excision with primary closure done.Today revision surgery was done.LEVEL V neck dissection with left Hemiglossectomy with left PM flape done.
12-05-2022
67 YEARS OLD MALE SUFFERING FROM LEFT LATERAL MARGIN TONGUE CARCINOMA SINCE 2 MONTHS.MRI ORAL CAVITY SHOWS 2.5*2.5 CM TONGUE LESION ON THE LEFT LATERAL MARGIN OF THE TONGUE .PATIENT HAS SEVERE SUBMUCOSAL FIBROSIS..LEFT RADICAL NECK DISSECTION WAS DONE.THERE WAS BADLY ADHERENT LEVEL I NECK NODES TO INTERNAL JUGULAR VEIN.LEFT RMT WAS REALESED AND NASOLABIAL FLAP WAS KEPT.
07-05-2022
42 years old female suffering from left pyriform fossa growth which extends to post cricoid area.patient has complete obstruction to degluttion,.right IJV port kept.two cycles neo adjuvant chemotherapy given.patient has 95% tumour regression.ct shows complete regression of the growth with 2cm growth in post pharyngeal wall.Laryngectomy with pharyngectomy with patch pharyngoplasty done
03-05-2022
61 YEARS OLD FEMALE SUFFERING FROM RIGHT BUCCAL MUCOSA CARCINOMA.THE LESION IS INVOLVING LOWER GG SULCUS.CT SCAN SHOWS MULTIPLE ENLARGED NODES AT LEVEL 1.PATIENT HAS H/O TOBACCO CHEWING.RIGHT RADICAL NECK DISSECTION WITH RIGHT DISTAL MANDIBULECTOMY WITH RIGHT BUCCAL MUCOSA GROWTH EXCISION WITH RIGHT PECTORALIS MAJOR MYOCUTANEOUS FLAPE DONE.
02-05-2022
42 YEARS OLD MALE SUFFERING FROM ADVANCED LEFT BUCCAL MUCOSA CARCINOMA SINCE 6 MONTHS.CT SCAN SHOWS UPPER AND LOWER GINGIVO BUCCAL SULCUS ARE INVLOVED.EXTERNAL CHEEK SKIN INVOLVED .X RAY CHEST AND ALL BLOODC REPORTS ARE NORMAL.RIGHT RADICAL NECK DISSECTION WITH RIGHT EXTERNAL CHEEK SKIN EXCISION WITH RIGHT DISTAL MANDIBULECTOMY WITH LOWER ALVEOLECTOMY WITH BILOBE PECTORALIS MAJOR MYOCUTANEOUS FLAPE DONE.
15-04-2022
68 years old female suffering from right breast 6cm *7cm lump in lower outer quadrant of breast.lump is involving skin.pet ct shows hyper metabolic lesion in breast only.ER is positive.PR and HEr 2are negative.patient is having grade III hypertension and suffering from chronic kidney disease.Right modified radical mastectomy with primary closure done.
08-04-2022
49 years old male suffering from left lateral and anterior surface tongue carcinoma.CT scan shows lesion involving lateral left margin of tongue going towards the midline.Remaining reports are normal.Left radical neck dissection with left lateral margin tongue growth excision done.patient has trismus with fixed tongue.so distal mandibulectomy with left PM flape to reconstruction of the tongue done.
04-04-2022
49 years old male suffering from right buccal mucosa carcinoma with extension in to retromolar trigone .Right radical neck dissection with right distal mandibulectomy with right lower partial maxillectomy with reconstruction with PM flape done.
01-04-2022
49 years old male suffering from right buccal mucosa carcinoma with extension in to retromolar trigone .Right radical neck dissection with right distal mandibulectomy with right lower partial maxillectomy with reconstruction with PM flape done.
28-03-2022
64 YEARS OLD FEMALE SUFFERING FROM LEFT BREASTV 1.5 CM*1.5 CM TUMOUR.BIOPSY SHOWS DUCTAL CARCINOMA.PET CT SHOWS LESION CONFINED TO LEFT BREAST ONLY.LEFT LOWER OUTER QUADRENCTOMY WTHI LEFT AXILLARY CLERANCE DONE.DEFECT OF LEFT BREAST WAS RECONSTRUCTED WITH LEFT LATTISMUS DORSI FLAPE.
26-03-2022
37 YEARS OLD MALE SUFFERING FROM LEFT PYRIFORM FOSSA GROWTH WITH LARGE LEFT LEVEL II,III METASTATIC NODES.NODAL MASSC WAS INVOLVING THE LEFT EXTERNAL CAROTID ARTERY AS WELL INVOLVING LEFT IJV.PRIMARY LESION WAS T1 SO PLAN TO PERFORM LEFT RADICAL NECK DISSECTION WITH RADIOTHERAPY TO LEFT PYRIFORM FOSAA GROWTH .LEFT RADICAL NECK DISSECTION WAS DONE.LEFT IJV WAS EXCISED.LEFT EXTERNAL AND INTERNAL CAROTID ARTERIES WERE DISSECTED OUT.PRIMARY CLOSURE WAS DONE.
25-03-2022
86 years old male suffering from right buccal mucosa carcinoma involving mandible and outer cheek skin.patient was diabetic.ct scan shows subtle erosion of mandible.right radical neck dissection with right segmental mandibulectomy with excision of right cheek skin with lower gingivitis more buccal growth with reconstruction with bilobe PM flape done.
15-03-2022
47 years old male suffering from left neck huge metastatic nodal mass.patient had past history of right lateral margin tongue carcinoma surgery before two years at somewhere else.CT scan shows big neck nodal mass invading the floor mouth.Mandible is free from mass.patient had past history of right neck nodal clearance.at that time radiotherapy was not given.Today left radical neck dissection was done.
11-03-2022
60 years old male suffering from right buccal mucosa angle mouth T1 lesion carcinoma.patient was operated for same side buccal mucosa carcinoma before 2 years.patient is known case of bronchial asthma with compromised renal function.wide excision of buccal mucosa growth with margin of PM flape with reconstruction with nasolabial flape done.
10-03-2022
40 YEARS OLD MALE SUFFERING FROM LEFT BUCCAL MUCOSA CARCINOMA WHICH INVADE THE EXTERNAL CHEEK SKIN.CT SCAN SHOWS LEFT MANDIBLE WAS INVOLVED.LEFT RADICAL NECKN DISSECTION WITH LEFT HEMIMANDIBULECTOMY WITH LEFT LOWER ALVEOLECTOMY WITH LEFTB BILOBE PM FLAPE DONE.
08-03-2022
52 years old male suffering from left upper gimgivo buccal carcinoma involving leftv hard palate crossing the midline.tumour was also involving upper lip.CT scan shows erosion of the left maxilla .patient had past history of wide excision of left buccal mucosa growth excision.All blood test and echo cardio are normal.Left radical neck dissection with left near total maxillectomy with left PM flape done.
22-02-2022
42 years old male suffering from left lower GB sulcus carcinoma involving lower mandible at the level of incisior teeth. patient had biopsy of the lesion before 1- 1/2 years.patient had local excision at somewhere.now patient has metastatic node with erosion of the mandible .all the blood investigations are normal.Left radical neck dissection with left segmental mandibulectomy with wide excision of the left buccal mucosa growth with left PM flape done.
21-02-2022
42 years old male suffering from left lower GB sulcus carcinoma involving lower mandible at the level of incisior teeth. patient had biopsy of the lesion before 1- 1/2 years.patient had local excision at somewhere.now patient has metastatic node with erosion of the mandible .all the blood investigations are normal.Left radical neck dissection with left segmental mandibulectomy with wide excision of the left buccal mucosa growth with left PM flape done.
08-02-2022
70YEARS OLD MALE SUFFERING FROM RIGHT PYRIFORM FOSSA GROWTH .GROWTH IS EXTENDING TO RIGHT AE FOLD AND RIGHT VOCAL CORD .RIGHT NECK NODES ARE ENLARGED.RIGHT LEVEL 2 ,3,4 NECK DISSECTION WITH LARYNGECTOMY PHARYNGECTOMY DONE.PHARYNGOPLASTY DONE WITH RIGHT PECTORALIS MAJOR FLAPE.
07-02-2022
63 YEARS OLD MALE SUFFERING FROM LEFT CHEST WALL TUMOUR INFILTRATING TP LEFT SUBCLAVIAN VEIN.PATIENT WAS OPERATED FOR BILATERAL NECK EADICAL NECK DISSECTION WITH UNKNOWN PRIMARY.PET CT SCAN SHOWS SUV UPTAKEV IN LEFT VALLECULA BILATERAL NECK DISSECTON WAS DONE INJULY 2020.AFTER RADICAL NECK DISSECTION POST OP RT WAS GIVEN.PATIENT HAS CHEST WALL TUMOUR SINCE 3 MONTHS.PECTORALIS MUSCLE WAS INVOLVED PET CT SHOWS DISEASE LIMITED TO CHEST WALL.WIDE EXCISION OF LEFT CHEST WALL TUMOUR DONE.LEFT SUBCLAVIAN WAS DISSECTED OUT.PECTORALIS MAJOR WITH ADVANCEMENT OF LEFTLD FLAPE DONE.
27-01-2022
57 years old male suffering from left upper gingival ulcer since 3 months.biopsy proves it is well differentiated squamous cell carcinoma.pet ct shows disease limited to upper molar gingival mucosa but depth is 7mm.considering the depth left supraomohyoid neck dissection with left upper alveolectomy with left nasolabial flape done
21-01-2022
40 years old male suffering from right lateral margin tongue carcinoma since 3 months.Tumour was 1cm *1cm Ct scan shows no neck nodes pathology.x ray chest and usg of liver are normal.Right radical neck dissection with right lateral margin tongue carcinoma growth excision with primary closure done.
19-01-2022
39 years old female suffering from left breast tumour since 3 months.Mammogram shows spiculated calcified mass in left upper and central compartment of the breast.True cut biopsy shows adeno carcinoma.sonography of left axilla shows three enlarged nodes but looks like benign.No family History of breast cancer.Today left modified radical mastectomy with left lattismus dorsi flape for chest reconstruction was done.
09-01-2022
60 YEARS OLD MALE SUFFERING FROM PREPUCIAL GROWTH SINCE 6 MONTHS.CIRCUMCISSION WAS DONE SOMEWHERE WHICH IS REPORTED WELL DIFFRENTIATED SQUAMOUS CELL CARCINOMA.CT SCAN OF BOTH INGUINAL AREA SHOWS ENLARGED LYMPHNODES.PARTIAL AMPUTATION OF PENIS WITH BILATERAL INGUINAL NODES CLEARANCE DONE .
04-01-2022
60 years old female suffering from right lateral margin tongue carcinoma.biopsy shows well diffrentiated carcinoma.Ct scan shows no necrotic nodes in neck.X ray chest and sonography liver are normal.right radical neck dissection with right lateral margin tongue carcinoma excision done.
04-01-2022
