MAXILLARY TUMOR

This young lady came September, 2012 with a right maxillary tumor. We did a maxillectomy and the pathology showed pleomorphic sarcoma. I sent her for radiation but she never went! She came back with a massive growth in the mouth. She could barely breath and it was bleeding so we operated and performed a total maxillectomy. She did great!!! Naturally, she has some problems eating but solved them herself with a bulb syringe.

Pleomorphic sarcoma

After total maxillectomy

Two days after surgery

Feeding with a bulb syringe

BLADDER STONE

We removed a large bladder stone today!

STERNAL TUMOR

The internet has been a problem but I now have a mini-airport station. The connection is slow but adequate. 

The first interesting case to report is a 46 year-old female with a three-year history of a slow growing sternal mass. We were able to get a CT of the chest which showed the mass growing both into and out of the chest with destruction of the sternum. The great vessels appeared to be free from the tumor. We took her to surgery.

As soon as possible, we explored the chest and determined the mass was resectable. The mass extended in to the neck and involved the thyroid so a total thyroidectomy was necessary. In order to close the wound, we performed a right pectoralis muscle flap and reconstructed the lower sternum with mesh. Finally, we mobilized both breasts in order to close the wound. The patient was out of bed the next morning!

Sternal mass

Exposure of the great vessels after resection

Right pectoralis major muscle flap

Flap covering the great vessels

Mesh reconstruction of the lower sternum

Closure

Specimen

Specimen bivalved

One week post surgery