Morabia Shruti, Borkar Nikhilesh, Nagaonkar Priyanka
Department of Surgical Oncology, Sir H.N. Reliance Foundation Hospital and Research Centre, Raja Ram Mohan Roy Road, Mumbai, 400004 India.
Department of Plastic and Reconstructive Surgery, Sir H.N. Reliance Foundation Hospital and Research Centre, Mumbai, India.
Indian J Otolaryngol Head Neck Surg. 2023 Sep;75(3):2617-2620. doi: 10.1007/s12070-023-03868-1. Epub 2023 May 10.
Carcinoma of the head, neck and face is a challenge faced by surgeons worldwide. This case report presents a complicated surgical approach utilised in a patient diagnosed with right lower lip and gingivobuccal sulcus carcinoma, with a fixed neck flexion deformity due to ankylosing spondylitis. The patient, a 55-year-old man with cervical kyphosis, was declared inoperable due to his complex anaesthetic and surgical requirements. We performed a successful wide local excision of the tumour with a right marginal mandibulectomy, and later reconstructed the defect using a left free radial forearm flap.
头颈部和面部癌是全球外科医生面临的一项挑战。本病例报告介绍了一种复杂的手术方法，该方法应用于一名被诊断为右下唇和牙龈颊沟癌且因强直性脊柱炎导致颈部固定性屈曲畸形的患者。该患者为一名55岁男性，患有颈椎后凸，因其复杂的麻醉和手术需求而被宣布无法进行手术。我们成功地对肿瘤进行了广泛的局部切除并实施了右下颌骨边缘切除术，随后使用左游离桡侧前臂皮瓣修复了缺损。
