Total mandibular reconstruction and floor of mouth tumor

fibula being  contoured

microvascular anastomosis

microscope used


arterial and venous anastomosis


vascular anastomosis of flap vessels

fibula skin paddle being insetted

final reconstruction with excellent mouth opening


Total mandibular reconstruction done by free fibula flap. Earlier patient had anterior tongue tumor involving floor of mouth. Whole mandible along with floor of mouth and bilateral neck dissection was done . Condyle to condyle fibula reconstruction was done with free fibula flap, skin paddle being insetted in anterior to cover bone. Multiple osteotomies done to contour fibula and fixed with miniplate. Vessel anastomosis was done in a neck. Tracheostomy was done to secure airway while allowing airway to heal. Patient was discharged after 10 days ,tracheostomy was removed after three weeks. Feeding tube was removed after one month. Radiotherapy was stared after one month of surgery.


Dr Adhishwar Sharma 8860650846, adhishwar7@gmail.com








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