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Research paper thumbnail of Clinical Study of Versatile Flaps for Reconstruction of 100 Post Bite Resection Defects: Proclivity Towards PMMC Flap

INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH, Mar 1, 2024

Research paper thumbnail of Reconstruction of near total glossectomy and segmental mandibular defect with free fibula flap in Type IIIA popliteal artery branching variant: A case report and review of popliteal artery branching variations

Oral oncology reports, Jun 1, 2024

Research paper thumbnail of Reconstruction of complex oro-mandibular defects by four different modifications of free fibula osteomyocutaneous flap: A prudent alternative to multiple flaps

Journal of Plastic, Reconstructive & Aesthetic Surgery

Research paper thumbnail of Assessing the Need for Doing a Level V Cervical Lymph Node Dissection for All Clinically Positive Cervical Lymph Nodes in Squamous Cell Cancers of the Oral Cavity and Predicting Factors Indicating Metastatic Involvement of Level V Lymph Nodes

Paripex Indian Journal Of Research, 2018

Posterior triangle lymph node dissection(Level V lymph node dissection ) of neck is a part & parc... more Posterior triangle lymph node dissection(Level V lymph node dissection ) of neck is a part & parcel of Modified Radical neck dissection(MRND) and carries with it the risk of shoulder dysfunction due to spinal accessory nerve traction or iatrogenic injury during dissection. The aim of our study was to determine the role of dissection of Level V lymph nodes in patients suffering from Oral squamous cell cancers & to determine the factors that predicted level V lymph node metastasis .We had studied over 108 patients with Oral SCC on whom we had performed a MRND and had dissected and separately labelled Level V lymph node and sent them separately for histopathological examination to detect their involvement . Amongst 108 patients , 33 were clinically N0 (cN0). And none had Level V lymph node metastasis.Of the 75 patients with positive neck nodes, 30 patients were clinically N1.and of these 21 patients had only Level 1B & the rest 9 had level 2/3 lymph node involvement.None of these p...

Research paper thumbnail of Evaluation of facial artery perforator-based flaps in reconstruction of facial defects

Introduction: Several flaps have been described for reconstructing facial or oral defects. Flaps ... more Introduction: Several flaps have been described for reconstructing facial or oral defects. Flaps such as forehead and pectoralis major are often too bulky for small-to-moderate-sized defects, for which nasolabial flaps are often ideal. However, nasolabial flaps have limited mobility and reach and may need two stages, particularly for intraoral defects. According to recent literatures, facial artery provides numerous small cutaneous perforators, based on which skin flaps can be islanded, with greater mobility and reach for reconstruction of small-to-moderate-sized intraoral and facial defects in one stage. Our study aims to evaluate the reliability and versatility of facial artery perforator-based flaps in the reconstruction of such defects. Materials and Methods: A ethical committee-approved retrospective study was conducted on data of the patients attending our outpatient department between February 2014 and October 2015 with small-to-moderate-sized facial/oral lesions. The total s...

Research paper thumbnail of Exposed bone with scalp and pericranial loss: Role of multiple calvarial drillings in aiding closure

Journal of Pediatric Neurosciences

Dear Editor, A 4-year-old right-handed boy sustained multiple scalp and facial injuries without a... more Dear Editor, A 4-year-old right-handed boy sustained multiple scalp and facial injuries without any intracranial injury following a road traffic accident. The skin with galea and pericranium was found to be partially avulsed off the bone and areas of skin loss were present [Figure 1A and B]. Initially, a wound debridement was carried out and primary repair was attempted with distal galeal release incisions. After 1 week, a large part of the skin had blackened and could be clearly demarcated from the surrounding viable areas [Figure 1C]. As initially the pericranial loss was noted to be extensive, no attempt was made to advance a flap from the neighboring tissues. Multiple holes were drilled in the outer cortex of the exposed bone [Figure 2A] and saline dressing was continued on alternate days under ketamine anesthesia for the following 3 weeks. Granulation tissue started sprouting out of the holes [Figure 2B] and began covering exposed bone, and when the bed was red and healthy [Figure 2C], the patient underwent a split skin graft to achieve closure [Figure 2D].

Research paper thumbnail of The 3D tongue depressor guide: a low-cost alternative to 3D printing in fibula-based mandibular reconstruction

Conventional techniques for fibular osteotomy planning are intrinsically erroneous. 3D-printed os... more Conventional techniques for fibular osteotomy planning are intrinsically erroneous. 3D-printed osteotomy guides are time-consuming, require expensive software, and cannot accommodate changes in surgical plan. This study evaluated the form, function, and esthetics of patients who underwent fibular reconstruction using a novel technique for osteotomy planning. Patients who required multi-segment fibular reconstruction of the mandible were enrolled. The unique 3D osteotomy guide was fabricated intraoperatively using wooden tongue depressors. Functional outcomes like the interincisal distance, occlusion, jaw deviation, and oral competence were measured at preoperative (T1), 1 month (T2), and 6 months post-op (T3). Esthetic outcomes assessed were facial symmetry and mandibular projection. The reconstructive accuracy was gauged by CT measurements of bigonial width, mandibular arch angle, and ramus length. Thirty of the 61 patients met the inclusion criteria. The interincisal distance sign...

Research paper thumbnail of Clinical Study of Versatile Flaps for Reconstruction of 100 Post Bite Resection Defects: Proclivity Towards PMMC Flap

INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH, Mar 1, 2024

Research paper thumbnail of Reconstruction of near total glossectomy and segmental mandibular defect with free fibula flap in Type IIIA popliteal artery branching variant: A case report and review of popliteal artery branching variations

Oral oncology reports, Jun 1, 2024

Research paper thumbnail of Reconstruction of complex oro-mandibular defects by four different modifications of free fibula osteomyocutaneous flap: A prudent alternative to multiple flaps

Journal of Plastic, Reconstructive & Aesthetic Surgery

Research paper thumbnail of Assessing the Need for Doing a Level V Cervical Lymph Node Dissection for All Clinically Positive Cervical Lymph Nodes in Squamous Cell Cancers of the Oral Cavity and Predicting Factors Indicating Metastatic Involvement of Level V Lymph Nodes

Paripex Indian Journal Of Research, 2018

Posterior triangle lymph node dissection(Level V lymph node dissection ) of neck is a part & parc... more Posterior triangle lymph node dissection(Level V lymph node dissection ) of neck is a part & parcel of Modified Radical neck dissection(MRND) and carries with it the risk of shoulder dysfunction due to spinal accessory nerve traction or iatrogenic injury during dissection. The aim of our study was to determine the role of dissection of Level V lymph nodes in patients suffering from Oral squamous cell cancers & to determine the factors that predicted level V lymph node metastasis .We had studied over 108 patients with Oral SCC on whom we had performed a MRND and had dissected and separately labelled Level V lymph node and sent them separately for histopathological examination to detect their involvement . Amongst 108 patients , 33 were clinically N0 (cN0). And none had Level V lymph node metastasis.Of the 75 patients with positive neck nodes, 30 patients were clinically N1.and of these 21 patients had only Level 1B & the rest 9 had level 2/3 lymph node involvement.None of these p...

Research paper thumbnail of Evaluation of facial artery perforator-based flaps in reconstruction of facial defects

Introduction: Several flaps have been described for reconstructing facial or oral defects. Flaps ... more Introduction: Several flaps have been described for reconstructing facial or oral defects. Flaps such as forehead and pectoralis major are often too bulky for small-to-moderate-sized defects, for which nasolabial flaps are often ideal. However, nasolabial flaps have limited mobility and reach and may need two stages, particularly for intraoral defects. According to recent literatures, facial artery provides numerous small cutaneous perforators, based on which skin flaps can be islanded, with greater mobility and reach for reconstruction of small-to-moderate-sized intraoral and facial defects in one stage. Our study aims to evaluate the reliability and versatility of facial artery perforator-based flaps in the reconstruction of such defects. Materials and Methods: A ethical committee-approved retrospective study was conducted on data of the patients attending our outpatient department between February 2014 and October 2015 with small-to-moderate-sized facial/oral lesions. The total s...

Research paper thumbnail of Exposed bone with scalp and pericranial loss: Role of multiple calvarial drillings in aiding closure

Journal of Pediatric Neurosciences

Dear Editor, A 4-year-old right-handed boy sustained multiple scalp and facial injuries without a... more Dear Editor, A 4-year-old right-handed boy sustained multiple scalp and facial injuries without any intracranial injury following a road traffic accident. The skin with galea and pericranium was found to be partially avulsed off the bone and areas of skin loss were present [Figure 1A and B]. Initially, a wound debridement was carried out and primary repair was attempted with distal galeal release incisions. After 1 week, a large part of the skin had blackened and could be clearly demarcated from the surrounding viable areas [Figure 1C]. As initially the pericranial loss was noted to be extensive, no attempt was made to advance a flap from the neighboring tissues. Multiple holes were drilled in the outer cortex of the exposed bone [Figure 2A] and saline dressing was continued on alternate days under ketamine anesthesia for the following 3 weeks. Granulation tissue started sprouting out of the holes [Figure 2B] and began covering exposed bone, and when the bed was red and healthy [Figure 2C], the patient underwent a split skin graft to achieve closure [Figure 2D].

Research paper thumbnail of The 3D tongue depressor guide: a low-cost alternative to 3D printing in fibula-based mandibular reconstruction

Conventional techniques for fibular osteotomy planning are intrinsically erroneous. 3D-printed os... more Conventional techniques for fibular osteotomy planning are intrinsically erroneous. 3D-printed osteotomy guides are time-consuming, require expensive software, and cannot accommodate changes in surgical plan. This study evaluated the form, function, and esthetics of patients who underwent fibular reconstruction using a novel technique for osteotomy planning. Patients who required multi-segment fibular reconstruction of the mandible were enrolled. The unique 3D osteotomy guide was fabricated intraoperatively using wooden tongue depressors. Functional outcomes like the interincisal distance, occlusion, jaw deviation, and oral competence were measured at preoperative (T1), 1 month (T2), and 6 months post-op (T3). Esthetic outcomes assessed were facial symmetry and mandibular projection. The reconstructive accuracy was gauged by CT measurements of bigonial width, mandibular arch angle, and ramus length. Thirty of the 61 patients met the inclusion criteria. The interincisal distance sign...