Monday 8 July 2019

Difficult cancer Resection and Reconstruction Involving Mouth Performed in Alchemist Hospital


Dr Kanwarneet and Dr Varun Singla
A rare and extremely fine  Microsurgery after cancer resection has been performed successfully on a 45 year old patient with squamous cell carcinoma involving the upper and lower lips (in simple language we can say cancer of mouth) at Alchemist Hospital. Surgery has been performed as a team by Dr. Kanwarneet, Oncosurgeon- resection and Dr. Varun Singla Plastic Surgeon-reconstruction with Alchemist Hospital.
Patient Ramesh (name changed), was admitted in Alchemist Hospital with history of growth on the lip for the past one and half years which had been increasing significantly since the last 6 months.
Giving details Dr. Kanwarneet and Dr. Varun Singla told that on examination, patient was suspected to have a squamous cell carcinoma involving the upper and lower lips, the right commissure, and the cheek mucosa along with the mandible.
They further told that subsequently after confirming the carcinoma diagnosis and doing basic investigations like CT and ultrasound, patient was taken up for surgery with a plan for resection of the involved areas that is the skin of the cheek, lips and the mucosa along with involved mandible. “This was an extensive resection which would normally require two or more flaps with significant morbidity at the donor site. So to reduce the morbidity, a chimeric free flap was planned (ALT - Thigh Skin and underlying muscle on same artery) and was used to cover all the defects created.”
 The surgery took 10 hours because of the extensive and difficult cancer resection and the subsequent extremely fine microsurgery needed to reconstruct the defect created. The surgery went without any problems and the flap survived without any complications, doctors informed.
Dr. Kanwarneet (Oncosurgeon- resection ) and Dr. Varun Singla (Plastic Surgeon- reconstruction) worked as a team to perform this surgery which is rare even in the tricity area.
Patient is now stable and recovering with minimal problems

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