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T 4 N2 M0 Carcinoma buccal mucosa and its treatment

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pre op photo pre op photo Incision being planned Excised Tumor finished surgery PMMC flap being raised excised tumor Final results T4N2M9 buccal mucosa tumor excised with good margins ,neck dissection done. Reconstruction done with PMMC. Tracheostomy was done for airway removed after one week. Dr Adhishwar Sharma MBBS ,MS General Surgery PGIMER Chandigarh Mch Plastic Surgery 8860650846 ,adhishwar7@gmail.com

Carcinoma buccal mucosa and fibular reconstruction

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Nerve Sheath tumor of median nerve

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pre op tumor pre op  nerve sheath tumor being disseccted parent nerve and tumor excised tumor tumor away from nerve fascicle MRI Scan of Tumor 21 year old boy developed swelling in inner aspect of arm for 6 months . Painless slow growing and tender on touch. He had no distal nerve deficit or any neurovascular problem due to swelling .MRI Scan revealed that it is a nerve sheath tumor . Patient was posted for surgery and tumor was dissected free of nerve fascicle and removed . Post op patient suffered no deficit and recovered . Biopsy came as benign Schwannoma. Dr Adhishwar Sharma MBBS, MS General Surgery PGIMER Chd Mch Plastic Surgery Fellowship in Hand and Microvascular Surgery 8860650846,adhishwar7@gmail.com brahmanandclinic.com

Basal cell carcinoma Nose

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53 year old women ,mother of six ,developed a non healing lesion which was biopsied to be basal cell carcinoma. She under went excision and reconstruction under local anaesthesia . Basal cell carcinoma is a type of skin cancer which affects due to sun exposure. It is diagnosed by biopsy and 3mm excision and reconstruction is curative.Basal cell carcinoma is also known as rodent ulcer. Dr Adhishwar Sharma MBBS, MS General Surgery PGIMER Mch Plastic Surgery Fellowship in Hand and Microvascular Surgery 8860650846, adhishwar@live.com brahmanandclinic.com brachealplexus7,blogspot.com

Ameloblastoma

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pre op photo front view pre op lateral view Radiology  excised specimen excised specimen and wound post op contour 60 year old female with a jaw swelling for six months .She was operated and jaw tumour with wide margins was excised and jaw anatomy was reconstituted with   reconstruction plate . For feeding purpose a feeding tube was inserted for three weeks. After three weeks feeding tube was removed. Ameloblastoma is a odontogenic tumor of facial skeleton. It is around 11% of all jaw tumors. Common in 20-50 years age group although can occur at any age .Lower jaw is more common than upper jaw(4:1) .Posterior region of jaw is more common than anterior region. They are slow growing ,painless  in most patients . On radiology they are unilocular or multilocular lesions usually translucent. Ameloblastoma are of three types Unicystic Ameloblastoma This develops in the epithelia wall of dentigerous cyst in posterior aspect of maxilla...