MONEY

The world spends 2.1 trillion/year or 4.7 billion/day= $249 per person on weapons daily. magine what we could do with the earth if we just took a few days off. We would have money coming out the Wazoo

 

Monopolar

 

Young lady with mass growing from right nostril for 7 years. Surgery required:

1. Radical Maxillectomy

2. Nasal reconstruction

3. Tracheostomy

4. Orbital sling with mesh

5. ORIF palate

6. Temporalis flap

7. Tarsorrhaphy

The result was not perfect but can be improved in the future. Last picture is 4 weeks postop. Patient was very happy as she was considered a pariah before operation.

Published with permission of patient

THESE ARE REALLY COOL

 

HAVING FUN IN URUA AKPAN

 

Many people ask about our pathology. For a long time, Danny Milner, MD, at Harvard/Brigham and Women's Hospital. performed all our pathology on the specimens I brought home with me. This was a really great situation which, unfortunately, ended when Danny left the Brigham to become the Chief Medical Officer at the American Society for Clinical Pathology. After an appeal on my Blog Site (www.earthwidesurgicalfoundation.blogspot.com), I received many gracious offers for pathology help from around the world. 

 

Fortunately, we met Dr. Chidi Onwuka from the Department of Histopathology at the University of Uyo Teaching Hospital. He graduated from the University of Nigeria, Nsukka and did his pathology training at the National Postgraduate Medical College of Nigeria. His group now does all our pathology work. Chidi is a very pleasant chap and comes every week to pick up our specimens and his turn around time is 1 week!

FIBROUS DYSPLASIA WITH ECTOPIC TEETH

This 12 year old girl came in with a swollen Cheel. She obviosly had fibrous dysplasia-Fibrous dysplasia is an uncommon bone disorder in which scar-like (fibrous) tissue develops in place of normal bone. This can weaken the affected bone and cause it to deform or fracture. In most cases, fibrous dysplasia affects only a single bone — most commonly the skull or a long bone in the arms or legs. We operated and found massive fibrous tissue requiring a chisel for revoval of the entire maxilla. During removal we found several ectopic teeth-perhaps the stimulus for her problem. 

The orbital floor was gone and the eye drooped down into the sinus when we were done. We used a polypropylene mesh sling to support the eye-which is onlevel with the other eye after surgery. She is healing well.