palatal reconstruction various flaps

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lymphedema tarda

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measurements at first interview  Final result as compared to opposite leg per op photo  pre op photo Fasciectomy and debaulking in progress  Final wound closure Four layer crepe bandage Skin marking for autologous lymph node transfer Superficial lymph node transfer Vein marked Lymph node flap dissected Lymph node vessel connected lymph node flap with vessel connected lymph node insetted in groin First dressing change and result achieved 59 years old female presents with a leg swelling for past 15 years come to my clinic . She was suffering from primary lymphedema tarda. Clinical examination was done , limb measurements were done . MRI leg , lymphoscintigraphy and color doppler  were ordered . MRI leg revealed fluid filled spaces with dilated lymphatics, no lymph nodes. Lymphoscintigraphy revealed absent groin lymph nodes and color doppler wa...
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Adult Brachial plexus injuries

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                           Adult Brachial Plexus Injuries Adult brachial plexus injuries are becoming increasingly common. In adults most common cause is motor cycle accidents, other notably causes are tumors, radiotherapy and iatrogenic. brachial plexus is a plexus of nerves which arise out of lower cervical (C5-C8) and first thoracic T1 spinal nerves.Anterior primary rami which are motor in function participate in plexus formation. They supply motor and sensory innervation to upper limbs from shoulder to hand. In the C5 and C6 forms upper trunk just after exiting scalene triangle,C7 continue as middle trunk and lower two(C8&T1) joined as lower trunk. They gives rise to cords which are below clavicle and followed by terminal branches. All posterior division arising from trunks forms posterior cord which gives arise to terminal branches, anterior division of upper trunk give arise to lateral cord and medial ...
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Degloving injury forearm and ALT flap

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                                                      degloving injury initial injury photo Immediate post op                                               at two weeks healed flap at three weeks At three weeks skin grafted donor site skin grafted thigh degloving injury finally healed flap at two months final hand function Degloving injury occurred to 21 years old male while coming from religious pilgrimage . Patient had total degloving of forearm skin , with extensive crushing of muscles. Patient had small liver injury as well as degloving of right thigh as well.   Pt was investigated and planne for debridement. After debridement patient was taken...
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