Jaw tumors are tumors of the bones of the upper and lower jaw.
Jaw tumors are tumors of the bones of the upper and lower jaw. They can be benign or cancerous. Jaw tumors cause quite discomfort to the patients as they can grow to big size and even if the tumors are non-cancerous, patients experience problems in eating, speaking,, and swallowing.
The most common types of jaw tumors are Ameloblastoma, Aneurysmal bone cysts, and Giant cell tumors. Cancers like osteosarcoma, chondrosarcoma, and Ewing's sarcoma are also reported in Jaws.
Out of these, Ameloblastoma is the most common type of benign jaw tumor present in the population. This can attain a big size and is aggressive but never spreads to other parts of the body.
Surgical excision of a jaw tumor with the removal of the segment of the jaw can cause serious issues in the management of air passages of the person's face. Other problems faced by him/her are difficulty in chewing, speech & cosmesis.
So, after the removal of the jaw, it becomes imperative to restore the continuity of a bone as the basic goal of reconstruction. Jaw reconstruction will also enable its functioning to allow a person to eat, swallow and speak as before & give the surgical site a more cosmetic appearance.
Jaw reconstruction is most commonly performed with the help of the microvascular transfer of bone and soft tissue taken from the leg and fixed with reconstruction plates & screws. It is a highly specialized microvascular surgery procedure consisting of the harvest of bone flap, shaping and fixation of bone, insetting of skin and soft tissues, microvascular anastomoses & external skin closure.
Once the jaw is fixed with the bone flap, artificial teeth can be implanted into the bone after one year of the surgery. This will enable the patient to chew the food from that side of the jaw and improve the cosmesis of their face and smile.
Jaw Reconstruction can be done at the time of jaw removal surgery or after a few months or years as a separate surgery.
Though Primary Reconstruction is preferred more as it restores the structure & function rapidly, reducing the number of operations & the overall duration of stay in the hospital.
The treatment of jaw tumors, both upper and lower jaw- comprises majorly of Surgical Intervention, Radiation Therapy, or a combined treatment comprising of Chemotherapy as well. Surgical excision of the tumor with the removal of the segment of the jaw along with the reconstruction of the jaw is done in the same sitting.
It can be either lower jaw (mandible) or upper jaw (maxilla) excision depending on the location of the tumor.
Initially, general anesthesia is administered by a very competent anesthetist and intensivist. Tracheostomy is done if required. A Ryles's nasogastric tube is inserted through the nose and a urinary catheter is placed for draining urine and monitoring.
Jaw resection is done through an appropriate incision by an Oncosurgeon.
Reconstruction of both the lower and upper jaw is challenging but reconstruction of the upper jaw is more difficult.
Fibula Bone which is the smaller one of the two bones present in the leg can be used to reconstruct both the lower and upper jaw. The bone is harvested with its artery, vein, and skin. The flap is then transferred to the head and neck region. The bone is reshaped and is fixed with the remaining jaw bone with plates, skin and soft tissues taken with the bone are inset in the defect created after the excision, and the vessels are anastomosed at the recipient site with appropriate artery and vein.
The donor site is covered with the help of a skin graft taken from the thigh.
Removing part of the fibula bone from the leg does not create any problem in walking or movements of the leg and foot.
This surgery needs surgical expertise and a good working team. Dr. Amit Agarwal specializes in microsurgical reconstruction and has reconstructed innumerable jaws with free fibula bone.
The success rate of free fibula reconstruction is quite good around 95% in hands of Dr. Amit Agarwal. It means 95 out of 100 jaws are successfully reconstructed. The results of microsurgical reconstruction can be quite unpredictable as it is dependent on multiple factors like the status of blood vessels, level of immunity of the patient and his/ her health status, and protein level to withstand the procedure.
Best plastic surgeon, Dr. Amit Agarwal is an American Board Certified, extensively trained, and best Plastic & Aesthetic surgeon in Lucknow. He is the Chief Plastic Surgeon heading the Department of Plastic, Microvascular, and Craniofacial surgery at Vivekananda Polyclinic and Institute of Medical Sciences, Lucknow, U.P, India. He maintains a busy practice at Avadh and Nishat Hospital and his own center - Kayakriti Plastic Surgery & Dental Center. He was formerly a Consultant in the Department of Plastic Surgery and Burns at the prestigious SGPGI, Lucknow.
We believe your experience with us should be comfortable and hassle-free to make it one of your best lifetime experiences for yours. We, here at the clinic, take full precautions to maintain your privacy in any manner. We also provide a staff who will receive you from the gate and take you to the chamber directly if you demand.
Our Surgeon is highly qualified and internationally certified with a team of skilled staff to perform any surgical or non-surgical treatment on your body.
When you plan to undergo any surgery you should always keep in mind that it's your body and it's a surgery. We, here always keep your safety a priority and will never recommend you to undergo any such procedure which is not safe for you. We also provide you with a detailed description of the complications which may occur after the surgery during the consultation as it's a surgical procedure so there may be some complications depending on the way your body reacts.
If you have flat or small breast and you want to improve your breast and hip contour ratio then you are a good candidate for it. The answer will be best provided after the first consultation with Dr Amit Agarwal.
Acute pain will be there for almost a week which gradually reduces and there will be soreness and swelling which may take up to 3 weeks to subside.
You can join your work and daily routines after a week of the procedure and can start exercising after 3 weeks of it.
Yes, you have to wear it round the clock unless we suggest you to remove it.
This surgery does not affect the ducts or the areas of the breast involved in milk production. Thus, it does not affect the breast feeding.
This surgery does not affect the ducts or the areas of the breast involved in milk production. Thus, it does not affect the breast feeding.
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