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Unconventional Approach to Neck Dissection: A Rare Case of Cervical Kyphosis

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Carcinoma of the head, neck and face is a challenge faced by surgeons worldwide. This case report presents a complicated surgical approach utilised in a patient diagnosed with right lower lip and gingivobuccal sulcus carcinoma, with a fixed neck flexion deformity due to ankylosing spondylitis. The patient, a 55-year-old man with cervical kyphosis, was declared inoperable due to his complex anaesthetic and surgical requirements. We performed a successful wide local excision of the tumour with a right marginal mandibulectomy, and later reconstructed the defect using a left free radial forearm flap.

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Abbreviations

AS:

Ankylosing spondylitis

GBS:

Gingiva-buccal sulcus

ASDAS:

Ankylosing Spondylitis Disease Activity Score

CTRT:

Chemo-radiation therapy

SCM:

Sternocleidomastoid

SAN:

Spinal accessory nerve

IJV:

Internal jugular vein

References

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Acknowledgements

We would like to thank Dr. Prabha Yadav and Dr. Tushar Thorat, the back bones of our plastic and reconstruction team, for successfully leading the free flap reconstruction.

Funding

No funds, grants or other support was received.

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Authors and Affiliations

  1. Department of Surgical Oncology, Sir H.N. Reliance Foundation Hospital and Research Centre, Raja Ram Mohan Roy Road, Mumbai, 400004, India

    Shruti Morabia & Nikhilesh Borkar

  2. Department of Plastic and Reconstructive Surgery, Sir H.N. Reliance Foundation Hospital and Research Centre, Mumbai, India

    Priyanka Nagaonkar

Authors
  1. Shruti Morabia
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  2. Nikhilesh Borkar
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  3. Priyanka Nagaonkar
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Corresponding author

Correspondence to Shruti Morabia.

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Morabia, S., Borkar, N. & Nagaonkar, P. Unconventional Approach to Neck Dissection: A Rare Case of Cervical Kyphosis. Indian J Otolaryngol Head Neck Surg 75, 2617–2620 (2023). https://doi.org/10.1007/s12070-023-03868-1

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  • DOI: https://doi.org/10.1007/s12070-023-03868-1

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