SlideShare a Scribd company logo
1 of 49
ADVANCED LESIONS ,[object Object]
CANCER OF THE ORAL  An overview of management By Dr. M. Ashraf  MD,MS,DNB(M Ch) SURGICAL ONCO. TONGUE
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],OBATALA ORULA OBTALA ORULA
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],OBATALA ORULA
[object Object],[object Object],[object Object],ORULA inflict immense pain
characteristics ,[object Object],[object Object],[object Object],[object Object],[object Object]
PREDISPOSING FACTORS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Oral Cancer Screening
Oral Cancer Screening
Oral Cancer Screening
Malignant transformation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CAUTION!! ,[object Object],[object Object],[object Object]
ERYTHROPLKIA ,[object Object],[object Object],[object Object]
TONGUE CANCER ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Near-Total Glossectomy
OVERVIEW OF TREATMENT ,[object Object],[object Object],[object Object]
Comparative highlights ,[object Object],[object Object],[object Object]
ADVANTAGES OF SURGERY ,[object Object],[object Object],[object Object],ADVANTAGES OF SURGERY ADVANTAGES OF SURGERY
ADEQUATE MARGIN ,[object Object],[object Object],[object Object]
DIFFICULTIES ,[object Object],[object Object],[object Object],[object Object]
WHAT WE ACHIEVE!! ,[object Object],[object Object]
SURGICAL APPROACHS ,[object Object],[object Object],[object Object],[object Object]
CASE 3 pre-op
CASE 3 per-op
PREOP PHOTO
 
 
 
 
 
MANAGEMENT OF NECK ,[object Object],[object Object],[object Object],[object Object]
CASE 3 per-op
 
 
MESSAGE ,[object Object],[object Object],[object Object],[object Object]
RECONSTRUCTION ,[object Object],[object Object],[object Object],[object Object],[object Object]
Near Total Glossectomy
Near Total Glossectomy
Near Total Glossectomy
Near Total Glossectomy
Near Total Glossectomy
 
Near Total Glossectomy
DIFFICULTIES  ,[object Object],[object Object],[object Object]
DIFFICULTIES AND CONTROVERSIES ,[object Object],[object Object],[object Object]
DIFFICULTIES AND CONTROVERSIES ,[object Object],[object Object],[object Object]
MESSAGE ,[object Object],[object Object]
FOR PATIENCE THANK YOU  THANK YOU  THANK YOU  THANK YOU

More Related Content

What's hot

Local and regional flaps in head and neck reconstruction
Local and regional flaps in head and neck reconstructionLocal and regional flaps in head and neck reconstruction
Local and regional flaps in head and neck reconstructionSaleh Bakry
 
Maxillectomy & Rehabilitation
Maxillectomy & RehabilitationMaxillectomy & Rehabilitation
Maxillectomy & RehabilitationDr Utkal Mishra
 
Weber ferguson incison (poster)
Weber ferguson incison (poster)Weber ferguson incison (poster)
Weber ferguson incison (poster)Sk Aziz Ikbal
 
Approaches to maxillofacial skeleton
Approaches to maxillofacial skeletonApproaches to maxillofacial skeleton
Approaches to maxillofacial skeletonDr. SHEETAL KAPSE
 
Pectoralis Major Myocutaneous Flap in Head and Neck Reconstruction
Pectoralis Major Myocutaneous Flap in Head and Neck ReconstructionPectoralis Major Myocutaneous Flap in Head and Neck Reconstruction
Pectoralis Major Myocutaneous Flap in Head and Neck ReconstructionVarun Mittal
 
Management of oral cavity cancer 23072018
Management of oral cavity cancer 23072018Management of oral cavity cancer 23072018
Management of oral cavity cancer 23072018Varshu Goel
 
Lip splitting incisions
Lip splitting incisionsLip splitting incisions
Lip splitting incisionsKingston Samy
 
Maxillectomy defect classifications cordeiro
Maxillectomy defect classifications cordeiroMaxillectomy defect classifications cordeiro
Maxillectomy defect classifications cordeiroJamil Kifayatullah
 
Palato maxillary reconstruction
Palato maxillary reconstructionPalato maxillary reconstruction
Palato maxillary reconstructionJamil Kifayatullah
 
lip reconstruction
 lip reconstruction lip reconstruction
lip reconstructionSumer Yadav
 
Carcinoma tongue
Carcinoma tongueCarcinoma tongue
Carcinoma tongueViswa Kumar
 
Local flaps in head & neack reconstruction
Local flaps in head & neack reconstructionLocal flaps in head & neack reconstruction
Local flaps in head & neack reconstructionMd Roohia
 
Hemiglossectomy and mandibulectomy Dr. M.Erami
Hemiglossectomy and mandibulectomy Dr. M.EramiHemiglossectomy and mandibulectomy Dr. M.Erami
Hemiglossectomy and mandibulectomy Dr. M.Eramimderami
 

What's hot (20)

Tongue cancer
Tongue cancerTongue cancer
Tongue cancer
 
Local and regional flaps in head and neck reconstruction
Local and regional flaps in head and neck reconstructionLocal and regional flaps in head and neck reconstruction
Local and regional flaps in head and neck reconstruction
 
Maxillectomy & Rehabilitation
Maxillectomy & RehabilitationMaxillectomy & Rehabilitation
Maxillectomy & Rehabilitation
 
Weber ferguson incison (poster)
Weber ferguson incison (poster)Weber ferguson incison (poster)
Weber ferguson incison (poster)
 
Nasolabial flap final
Nasolabial flap finalNasolabial flap final
Nasolabial flap final
 
Lip n cheek recons
Lip n cheek reconsLip n cheek recons
Lip n cheek recons
 
Lip reconstruction
Lip reconstructionLip reconstruction
Lip reconstruction
 
Approaches to maxillofacial skeleton
Approaches to maxillofacial skeletonApproaches to maxillofacial skeleton
Approaches to maxillofacial skeleton
 
Pectoralis Major Myocutaneous Flap in Head and Neck Reconstruction
Pectoralis Major Myocutaneous Flap in Head and Neck ReconstructionPectoralis Major Myocutaneous Flap in Head and Neck Reconstruction
Pectoralis Major Myocutaneous Flap in Head and Neck Reconstruction
 
Parotid surgeries
Parotid surgeriesParotid surgeries
Parotid surgeries
 
Management of oral cavity cancer 23072018
Management of oral cavity cancer 23072018Management of oral cavity cancer 23072018
Management of oral cavity cancer 23072018
 
Salivary gland Tumors
Salivary gland TumorsSalivary gland Tumors
Salivary gland Tumors
 
Lip splitting incisions
Lip splitting incisionsLip splitting incisions
Lip splitting incisions
 
Parotidectomy
ParotidectomyParotidectomy
Parotidectomy
 
Maxillectomy defect classifications cordeiro
Maxillectomy defect classifications cordeiroMaxillectomy defect classifications cordeiro
Maxillectomy defect classifications cordeiro
 
Palato maxillary reconstruction
Palato maxillary reconstructionPalato maxillary reconstruction
Palato maxillary reconstruction
 
lip reconstruction
 lip reconstruction lip reconstruction
lip reconstruction
 
Carcinoma tongue
Carcinoma tongueCarcinoma tongue
Carcinoma tongue
 
Local flaps in head & neack reconstruction
Local flaps in head & neack reconstructionLocal flaps in head & neack reconstruction
Local flaps in head & neack reconstruction
 
Hemiglossectomy and mandibulectomy Dr. M.Erami
Hemiglossectomy and mandibulectomy Dr. M.EramiHemiglossectomy and mandibulectomy Dr. M.Erami
Hemiglossectomy and mandibulectomy Dr. M.Erami
 

Similar to Ca Tongue

Similar to Ca Tongue (20)

ROLE OF RADIATION IN BONE TUMORS FOR ORTHOPEDICS
ROLE OF RADIATION IN BONE TUMORS FOR ORTHOPEDICSROLE OF RADIATION IN BONE TUMORS FOR ORTHOPEDICS
ROLE OF RADIATION IN BONE TUMORS FOR ORTHOPEDICS
 
Soft tissue sarcoma
Soft tissue sarcomaSoft tissue sarcoma
Soft tissue sarcoma
 
cups neck by Dr. Musaib Mushtaq.ppt
cups neck by Dr. Musaib Mushtaq.pptcups neck by Dr. Musaib Mushtaq.ppt
cups neck by Dr. Musaib Mushtaq.ppt
 
Acoustic neuroma,schwannoma.neurinoma
Acoustic neuroma,schwannoma.neurinomaAcoustic neuroma,schwannoma.neurinoma
Acoustic neuroma,schwannoma.neurinoma
 
Adnexal Masses in Reproductive Age
Adnexal Masses in Reproductive AgeAdnexal Masses in Reproductive Age
Adnexal Masses in Reproductive Age
 
Adnexal Masses
Adnexal MassesAdnexal Masses
Adnexal Masses
 
Oral cavity cancer
Oral cavity cancerOral cavity cancer
Oral cavity cancer
 
Oral caner
Oral canerOral caner
Oral caner
 
Mr Mammography New
Mr Mammography NewMr Mammography New
Mr Mammography New
 
Cancers of the Oral Cavity
Cancers of the Oral CavityCancers of the Oral Cavity
Cancers of the Oral Cavity
 
Early ca esophagus
Early ca esophagusEarly ca esophagus
Early ca esophagus
 
Using shave biopsies
Using shave biopsiesUsing shave biopsies
Using shave biopsies
 
Melanoma
MelanomaMelanoma
Melanoma
 
Git 4th 4th.
Git 4th 4th.Git 4th 4th.
Git 4th 4th.
 
Management of Oral Cavity Cancers
Management of Oral Cavity CancersManagement of Oral Cavity Cancers
Management of Oral Cavity Cancers
 
Oncology: disease condition of oral cancer
Oncology: disease condition of oral cancerOncology: disease condition of oral cancer
Oncology: disease condition of oral cancer
 
Carcinoma Of Thyroid Gland
Carcinoma Of Thyroid GlandCarcinoma Of Thyroid Gland
Carcinoma Of Thyroid Gland
 
50th publication jamdsr 1st name
50th publication jamdsr   1st name50th publication jamdsr   1st name
50th publication jamdsr 1st name
 
The Surgical Oncologists Role in Primary and Metastatic Melanoma
The Surgical Oncologists Role in Primary and Metastatic MelanomaThe Surgical Oncologists Role in Primary and Metastatic Melanoma
The Surgical Oncologists Role in Primary and Metastatic Melanoma
 
management of ca LIP.pptx
management of ca LIP.pptxmanagement of ca LIP.pptx
management of ca LIP.pptx
 

Recently uploaded

(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...parulsinha
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escortsvidya singh
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escortsaditipandeya
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...astropune
 
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableDipal Arora
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...chandars293
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Servicevidya singh
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeCall Girls Delhi
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Dipal Arora
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...chandars293
 
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...narwatsonia7
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Dipal Arora
 
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Genuine Call Girls
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...narwatsonia7
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...astropune
 
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...vidya singh
 

Recently uploaded (20)

(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
 
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
 
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
 
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
 
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
 
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
 

Ca Tongue