Total Maxillectomy + Orbital Exenteration + ITF Clearance
Total Maxillectomy + Orbital Exenteration + ITF Clearance
Fig.1 Patient has recurrent (sp radiotherapy) Ca of maxilla. MRI shows tumour invading orbit (yellow arrow).
Fig.2 MRI shows tumour infiltrating the pterygoid muscle (orange circle).
Fig.3 Diagram shows the skin incisions to expose the mid and lower facial skeleton
Fig.4 Osteotomy sites.
Fig.5 Upper & lower cheek flaps were raised to expose orbit, maxilla, zygoma, zygomatic arch and mandible.
Fig.6 After en-bloc resection of orbit, zygoma, maxilla, mandible and contents of infratemporal fossa. Yellow arrow points at greater wing of sphenoid.
Fig.7 Reconstruction was done with rectus abdominis microvascular flap. Post-op CT scan axial view. Yellow arrows mark the extent of flap.
Fig.8 Post-op CT scan coronal view. Yellow arrows mark the extent of flap.
Fig.9 Post-op photograph. 16 yrs post surgery.
The Heart Of Clinic
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)
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The Heart Of Clinic
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)