drrayappa.com

Stomal Recurrence 2

Stomal Recurrence 2

Fig.1 Seven years post laryngectomy and radiotherapy. Site of recurrence is marked.
Fig.2 Skin incision is marked.
Fig.3 Operated specimen shows Bilateral neck dissection, superior mediastinal dissection (yellow arrow), trachea and the skin around it 9green arrow), pharynx and cervical oesophagus.
Fig.4 Picture shows vessels in the neck and superior mediastinum, thoracic duct (yellow arrow), cut end of oesophagus ( green arrow).
Fig.5 Jejunum microvascular flap is used to reconstruct the pharynx.
Fig.6 Pectoralis major muscle (yellow arrow)is rotated to cover the blood vessels and to create the tracheostoma.

The Heart Of Clinic

Dr. Rayappa

Dr. C. Rayappa MBBS, DLO, FRCS(Edin)

SENIOR CONSULTANT

+91 44 3315 1105

Dr. C. Rayappa graduated from Madras Medical College, Chennai, India in 1982. He completed his post graduation in Otolaryngology (ENT)
Learn More

For Doctors

Vertical Hemilaryngectomy
Supraglottic Laryngectomy
Laser Cordectomy
Total Laryngectomy + Partial Pharyngectomy + PMMC Flap
Total Laryngectomy (Stapler Technique)
Stomal Recurrence 1
Stomal Recurrence 2
Primary TEP

Need more information?

Reach us through mail or phone

For Patients

Oesophageal Speech
Speech with Electrolarynx 01
Speech with Electrolarynx 02
Speech with Voice Prosthesis 01
Speech with Voice Prosthesis 02

Need more information?

Reach us through mail or phone

The Heart Of Clinic

Dr. Rayappa

Dr. C. Rayappa MBBS, DLO, FRCS(Edin)

SENIOR CONSULTANT

+91 44 3315 1105

Dr. C. Rayappa graduated from Madras Medical College, Chennai, India in 1982. He completed his post graduation in Otolaryngology (ENT)
Learn More