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Facial cosme+c surgery
Otoplasty
Bilateral	“bat	ears”	 Pre-op																													Post-op
Skin carcinomas Head/Neck
•  BCC	L	Temple	
•  Excision	and	reconstruc6on	with	
•  Full	thickness	skin	gra<	harvested	from	the	
posterior	aspect	of	the	auricle	
•  BCC	L	auricle	local	excision
Ca buccal mucosa 
•  Malignant	ulcera6on	R	buccal	
mucosa	
•  Selec6ve	Neck	Dissec6on	
(Clearance	of	lymph	nodes	chain	along	IJV)	
•  Reconstruc6on	a<er	wide	
excision	with	Alloderm	
•  Pa6ent	2/52	post-op
L infraorbital haemangioma
Digital	angiography-	the	vascular	
tumor	occupying	part	of	the	L	lower	
eyelid	
Catheteriza@on	of	the	nasolacrimal	duct	
pre-op	/	Reconstruc@on	with	nasolabial	
island	flap	to	avoid	ectropion	post-op
Ruptured L frontal mucocele in the orbit
Painful Exopthalmus
L	eye	proptosis	-	Pre-op	CT	scan	
Abla@on	of	the	frontal	sinus-oblitera@on	with	
faFy	@ssue-closure	of	the	bony	window	and	
fixa@on	with	mini-plate	on	urgent	basis
Thyroglossal duct cyst
Incision	–	CT	scan	neck	 	“Sistrunk”	approach
Surgical removal of 2nd cleG R Branchial cyst
SoG +ssue trauma and reconstruc+on
					Nasal	@ssue	loss	due	to	dog	bite	
Reconstruc@on	with	local	flaps	10	days	
post-op
SoG +ssue trauma and reconstruc+on
																		Dog	bite	L	cheek	 																								Post-op	1/52
Reconstruc+on full thickness lacera+on lower
lip
R zygoma+c complex/orbital floor fracture
with periorbital skin degloving
Fixa@on	R	zygoma	fracture	and	explora@on/
reconstruc@on	orbital	floor	and	catheteriza@on	of	
naso-lacrimal	duct	 Full	eye-globe	movement	post-op
Nasal comminuted fracture
Pre-op	CT	scan	 Close	reduc@on-post-op	2/52
Comminuted mandibular fracture/ facial lacera+ons/
loss of teeth
sustained aGer “horse-kick”
•  CT-scan	facial	bones	on	admission	
•  Pre-op	tracheostomy	due	to	gross	neck	swelling		
•  open	reduc@on	osteosynthesis	with	mini-plates		
•  IMF	for	1/12	
Post-op	1/12	and	6/12	(Good	cosme@c	
and	func@onal	result	-	dental	implants)
RTA- comminuted fracture L Frontal sinus and
intracranial hematoma
CT	scan	brain	on	admission		
Coronal	incision-Removal	intracranial	hematoma	
and	reconstruc6on-osteosynthesis

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