Nagpur: Doctors in private hospitals in the city have not only saved vital organs such as the brain and the eyes of a 52-year-old school teacher but also carried out maybe the first complete mandibular reconstruction operation after he lost the entire jaw of black mushrooms between May and June fungal attacks.
A successful artificial jaw placement is also the first permanent rehabilitation of the pop patient in the world, said Dr.
Chandrashekhar Bande, Head Consultant and Neck Cancer and Plastic Surgeon Face, Alexis Multispecialty Hospital.
Posted now, the woman has regained the original look but had to wait for two months to repair permanent dentures.
Until then, he would be in the liquid diet.
DR Chandrashekhar Bande, Cancer Head and Neck Consultants and Plastic Surgeons Face, designed and patented implants.
The multidisciplinary team of doctors from the hospital, including a specialist from Nitin Shinde’s infectious disease, Surgeon Dr.
Ashish Maheshkar and Prosthodontist Dr.
Prajaka Thool, decided to choose a complete resection under the supervision of Dr.
Anesthetic drugs.
Jagdish Bhalerao in the hospital.
Bande said, “There are some more similar cases but not from severity.
We need 15 to 20 days together with the technical team to design prosthetic such as faces and patient jaws and functions.
According to the available literature, one reconstruction operation has been reported from Europe at age 84 years.
This is the first rehabilitation for every patient in Asia and first in the patient of Musormycosis in the world.
“The patient has a history of diabetes, hypertension and hypothyroid.
In conventional cases, the knee bone (fibula graft) is used to reconstruct the jaw.
Consider the age and condition of patients and potential complications of postoperative infection, this option is not feasible.
Fibula grafting will result in a bad face aesthetic and cause emotional pressure, the doctor said.
Reconstruction is done using advanced 3D print titanium implants that are adjusted for 52-year-old teachers.
According to the hospital, the reconstruction operation was carried out on August 18 and after two weeks of monitoring, he was dismissed with a stable condition and there were no mucormycosis provisions.
In April this year, the teacher has tested positive and accepted covid.
On May 11, he was diagnosed with black fungal infections.
Because of its critical conditions, marginal mandible resection operations along with infected regional resection in the lower jaw are carried out by Dr.
Bande.
Then, the team decided to choose a complete resection.
The procedure is carried out to prevent the spread of further infection against vital organs such as the eyes and brain.
Unfortunately, only a month after the first operation, the patient was again diagnosed with a black fungal infection.
The CT scan image shows osteomyelitis mucroikosis on the lower Jawdran Gawad, the Director (Administration) at the hospital, said the complicated cases needed a multidisciplinary approach that could only be possible in multispecialty tertiary care hospitals such as Alexis.
” About CRB Artificial * Artificial CRB Adjustable Complete Mandibula designed and patented by Dr.
Chandrashekhar Bande * The ideal reconstruction provides solid arches to articulate with the upper jaw, recovering swallowing, speech, mastness and aesthetics * Bottom jaws are completely reconstructed using titanium 3D printing sophisticated Customized for patients * Dr.
Bandes and teams collaborate with teams of engineers, surgeons, and biomedical designers in Lucid using advanced computer software and advanced 3D printing technology to design and produce full mandibular implants tailored to the case of the patient’s face anatomy * in April year This, a 52-year-old teacher from Wanadon Gri was tested positively and was accepted * on April 21, he was dismissed but in a few days reported severe tooth pain in his lower jaw, followed by excessive swelling, trauma and hallucinations * on May 11, he diagnosed with infe KSI Mukormycosis * Dr.
Bande appeared marginal.
Mandibular Resection Surgery Along with the resection of infected areas in the lower jaw * later, Dr.
Bande and the team decided to choose a complete resection * only a month after the first operation, the patient was again diagnosed with a black fungal infection * CT scan image showed mucorikotics osteomyelitis in the bottom jaw …
Direct action is to fully replace the lower jaw with functional implants to prevent the spread of further infection