brahmanand cancer

pre op marking for breast mass flaps being raised axillary dissection homeostasis being secured  46 year old female developed  breast lump ,hard nodular, painless ,slow growing for six months. FNAC revealed ca breast, CXR and ultrasound abdomen were non remarkable. Patient was taken up for surgery mastectomy with axillary dissection was done. Dr Adhishwar Sharma Mb,BS MS (gen Surg) PGIMER Chd Mch Plastic Surgery Fellowship microvascular surgery and hand surgery 8860650846, adhishwar7@gmail.com

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, adhishw...

Fungating neck node Neck secondaries Neck Dissection completed Neck dissection completed DP flap completed flap being insetted 66 year old male life long smoker. Patient was diagnosed with carcinoma base of  tongue , and was advised chemotherapy and radiotherapy. Patient  somehow unable to undergo treatment ,developed neck nodes which burst open . Patient was operated for neck dissection where all fungating and other nodes were removed and deltopectoral flap was done to cover the wound. Patient was advised again chemotherapy and radiotherapy . Dr Adhishwar Sharma      8860650846.   adhishwar7@gmail.com

pre op photo post op photo 6 year old boy presented with swelling on the the upper lip for past six months. The swelling was excised and reconstruction done with local flap. Biopsy was rhabdomyosarcoma ,patient needs adjuvant treatment for complete cure. Patient parents were advised regarding chemotherapy and radiotherapy. Dr Adhishwar Sharma 91 8860650846 adhishwar7@gmail.com

65 year old man had a rapidly growing lesion in in lower jaw. On X ray lesion was cystic in nature it has history of three months only. Any way tumor was excised and frozen section was send which came as squamous cell carcinoma . Bilateral neck dissection was done, mandibular reconstruction was done using free fibula.Tracheostomy was done to secure airway. Dr Adhishwar Sharma 8860650846 adhishwar7@gmail.com

Parotid gland  tumors are common , especially benign tumors. These tumors occur in superficial lobe,so superficial parotidectomy is treatment of choice. Facial nerve divides parotid gland into superficial and deep lobes.Superficial parotidectomy means dissection of facial nerve from superficial lobe. Superficial lobe is lifted of facial nerve and  it carries risk of facial palsy. Dr Adhishwar Sharma MBBS, MS General Surgery PGIMER Chd Mch Plastic Surgery Fellowship in Head and Neck Surgery brahmanandclinic.com  8860650846 adhishwar7@gmail.com

preop preop frontal view post op one year Resected specimen inside Resected specimen outside  post op photo April 2017 A 48 year old man who developed swelling in face for past six months. Swelling was in lower face and very massive, Biopsy come as carcinosarcoma. imaging studies CT scan was ordered which revealed true extent of tumor. He was planned for resection and neck dissection.  Reconstruction was done with a ALT free flap. Flap vessel were connected to facial artery and EJV. Post op was uneventful . He was offered radiotherapy which he refused . He went back home and after one year send his photograph, he was doing well . All photo with a consent. Dr Adhishwar Sharma MB,BS , MS General Surgery PGIMER  Chd Mch Plastic Surgery brahmanandclinic.com 8860650846 adhishwar7@gmail.com