MANDIBULAR TUMORS - total mandibulectomy

Extended (large) tumors of the lower jaw need a total mandibulectomy (completely removal of the lower jaw completely) for a cure. The disability after this mutilating procedure is surprisingly mild. This patient had lingered a long time – nearly too long – before seeking help at Aira hospital. A mandibulectomy was done, and while first disappointed immediately after surgery, he returned later to express his gratitude, showing that he was able to talk, drink and chew soft food.

 before-surgery-1

 before-surgery-2

 Large mandibular tumor

 Large tumor of the lower jaw

 before-surgery-3

 115

 Before surgery

 On the operating table

 26

 36

 Tumor exposed

 Mandible (jaw) isolated

 321

 46

 Mandible (jaw) being removed

Mandible (jaw) removed 

 55

 65

 Removed mandible (jaw) with tumor

Bended wire inserted as a spacer to replace the removed jaw

 75

 85

 Wound being closed

 Wound closure completed

 96

 105

Tube in nose and tongue sutured to thoracic wall to keep airways free

Immediately after surgery - bandage to help keeping soft tissue in place

 after-surgery-1

 after-surgery-2

 At follow up three months after surgery

 At follow up three months after surgery