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Osteogenic Sarcoma of Skullbase

Osteogenic Sarcoma of Skullbase

Fig.1 12 years old girl with osteogenic sarcoma. Presented with a large swelling in the region of righ cheek, eye and temple. She has lost the vision completely in the right eye.
Fig.2 Right lateral view showing the extent of swelling
Fig.3 MRI shows tumour involving temporal fossa (yellow arrow), zygoma & orbit (white arrow) and ethmoid sinus (green arrow).
Fig.4 MRI shows tumour involing temporal fossa (white arrow), cheek & infratemporal fossa (yellow arrow), nasal cavity, ethmoid and maxilla (green arrow).
Fig.5 Skin flap is raised to expose the entire tumour and orbit.
Fig.6 After complete excision of tumour involving skull & its base, maxilla and ethmoid.
Fig.7 Defect in the skull was reconstructed using pre-shaped titanium mesh. Reconstruction was done using fibula osteocutaneous microvascular flap to regain the facial contour. Skin paddle was used to line the nasal cavity.
Fig.8 Clinical photograph at the time of discharge.

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)

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)