Eric Oje and wilson Anyanwu are nurse anesthetists. The best in the whole world-no joking. Here they are using an obdurate to intubate a difficult thyroid patient with a substernal goiter compressing the trachea. There is nothing that can stop them!
6/22/2013
6/13/2013
OLD HOME WEEK FOR THE MAXILLA
These two patients came for a check up. They had excision of the maxilla during the previous two trips. They are very happy with the results.
 |
| Left maxillectomy |
 |
| Right maxillectomy |
6/12/2013
BAD HAIR DAY
Pre and post maxillectomy for fibrous dysplasia. The floor of the orbit was destroyed by the tumor and the eye was sitting on the tumor. We reconstructed the orbital floor with vicryl mesh.
 |
WHAT DO YOU EAT OVER THERE?-Part 2
Gari is made from fermented cassava root. The ground cassava is then fried and mixed with water to make a paste. The paste "ball" is then dipped in spicey fish soup and swallowed without chewing.
HAIRY NEVUS
This beautiful young woman, Rita, presented at the end of the last trip. Rita wants to be an attorney and is quite determined for a 17 year-old with a giant congenital hairy nevus-a lesion with a significant malignant potential. We planned on a multistage surgery beginning this trip.
The first stage consisted of a cheek-neck-chest rotation flap as outlined. Next trip, we will repair the infraorbital area. Hopefully, there will be no malignant transformation.
6/11/2013
CHEST WALL SARCOMA
 |
| Fixed infraclavicular mass |
A young lady came in with a mass fixed to her chest wall. the overlying skin was soft and mobile. Clearly this is some type of sarcoma. We removed the clavicle and ribs 1-3 en bloc and were able to get clear margins. We repaired the defect with mesh. The right lung definitely has no metastases-haha. She went home after 5 days.
 |
| Chest wall skin and breast reflected laterally. Clavicle and ribs 1-3 have been resected |
 |
| Defect closed with mesh |
 |
| Two days postop |
 |
| Three weeks postop |
YOW
The trip is over. We did 180 surgeries in about 4 weeks. The internet was too slow to blog so I am going to catch up now.
We first saw this little boy 3 months ago with a giant cystic kidney. We operated toward the end of the trip and I was concerned for him since he was so nutritionally depleted.
We first saw this little boy 3 months ago with a giant cystic kidney. We operated toward the end of the trip and I was concerned for him since he was so nutritionally depleted.
HE IS DOING GREAT!!! He returned for a check up this trip. His dad was so happy he could not speak.
Subscribe to:
Posts (Atom)