TFL flap for facial reconstruction

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Xeroderma pigmentosum and its treatment

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These horrifying pictures are of facial tumors suffered by patients of Xeroderma pigmentosum.This is a genetic condition in which body ability to repair genetic damage is greatly impaired. As a result theses children are greatly susceptible to damaging effects of UV rays. They develop facial skin tumors  or in other exposed part of body. This patient had these skin tumors which were excised and skin grafted. Bilateral neck dissection was done as it showed enlarged lymph nodes. Patient tolerated surgery as were happy to get rid of horrendous deformity it was causing. All margins were negative and nodes were negative. Dr Adhishwar  Sharma MBB,BS MS Gen Surgery PGIMER Chd Mch Plastic Surgery brahmanandclinic.com 8860650846, adhishwar7@gmail.com
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Marjolins ulcer leg post burn

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Marjolins ulcer is a variant of skin cancer , it is a ulcerating squamous  cell carcinoma . Described by Jean Nicolas Marjolin in 1828. Which develops in scars it can be burn scar ,osteomyelitis ,venous ulcers, post radiotherapy , pressure sores  or post traumatic scars. Unstable wound which are prone to breakdown are frequent site of this cancer . It can be very aggressive tumour  . Initial lymphatic spread is slow because of scarring ,but once barrier is breached spread can be aggressive .  Any wound which is not healing for 3 months should be biopsied .  original ulcer 30 year old male history of burns sustained burns 20 years ago which was treated conservatively with right get skin grafted . Patient developed ulceration over medial aspect of ankle which refused to heal . Patient was subjected to biopsy which came out to be squamous cell carcinoma . Surgical Oncology advice was taken and patient was taken for surgery. Lymph node dissection of g...
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Soft tissue sarcoma and ALT Flap

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pre op tumor                                                pre op tumor post op day 5 well settled flap and brachytherapy catheter visible 28 year old female who have developed soft tissue sarcoma thigh which was duly excised and adjuvant treatment given, after  12 months the patient developed recurrence .  She was again thoroughly investigated and found have extensive tumour recurrence , oncosurgeon along radiation oncology team drew up plans for treatment. Plan was to excise the tumour with immediate microsurgical reconstruction. Brachetherapy catheter were to be put during surgery to be utilised after surgery.  Surgery was done and tumour was throughly excised and immediate reconstruction with ALT flap was done. Post op was uneventful and patient was discharged after 10 days . After one month of surgery brachytherapy was done . M...
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