Atlas of Head and Neck Cancer Surgery by Nirav Trivedi

Author:Nirav Trivedi
Language: eng
Format: epub
Publisher: Springer India, New Delhi

Fig. 9.10The photograph showing negative mucosal margins

Fig. 9.11The deep muscle margin seems clear

Fig. 9.12The resulting defect needs flap reconstruction

Fig. 9.13The PMMC flap is raised

Fig. 9.14The flap suturing

Fig. 9.15Flap insertion covers the entire defect

Fig. 9.16Completed bilateral SND and closure

Fig. 9.17Donor site defect is closed primarily

Fig. 9.18The final long-term outcome. This patient can eat full diet and has good quality of speech. There are a few infiltrating, deep BOT lesions (non-HPV) that don’t respond well to radiotherapy, and this approach serves good for this group in our experience

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