The Cervicofacial Advancement Flap

This video shows a patient with a large squamous cell carcinoma that has eroded through his external ear. The lesion has also infiltrated the parotid gland. We show the resection of this lesion with associated reconstruction.

Category:

Science & Technology

Tags:

• operation
• head
• neck
• cancer
• flap
• tumor
• surgery
• medicine

[devilantony100]

was that a real surgery or is it just a demostration?

[Demagogue8990]

@devilantony100 This was real.

[loterual]

are you guys listening to weezer?!

[Demagogue8990]

@loterual lol, yup

[Eroo5]

doesnt look too good...

[loganmorrow46]

hope e got rid of the problem cuz it was serious i learn a lot of stuff from vids like these im very intrested in the human body alot of people say this is grose but i think it is very educational

[Mfaithwomen190989]

was that from dead body?

[imgordonfreeman]

wth is that a person's face ? what happened to him or her ?

[Demagogue8990]

@chichibucity It was an enbloc resection of the specimen with an additional modified neck dissection. Maybe my narrative along with the manner in which the video was shot was confusing. We were able to preserve the facial nerve & did not need the graft. Result with that graft in VII reconstruction are pretty good. I have recently been using neurotubes for nerve grafting. They have been working out well. Thanks.

[chichibucity]

@Demagogue8990

Nice video!

Ignore the buffoon. Cant expect the laity to understand hemostasis much less head and neck recon. I think his "clouded dead eye staring at the ceiling" was infact your your facial nerve monitor electrode.

Im interested in the following: Why was the dissection not done en bloc with the primary resection? Did you end up using the GAN graft (and how have your results been)? Im sure most of the answers can be found on pubmed, but stuck doing non-ENT stuff for now!

[nokomarie1963]

@Demagogue8990 Yeah, but, maybe my 73-year-old dad was too old to take the surgery. That or the horrific change to what had been a very handsome face was too much for him. He seemed very good and willing to recover until he got a good look at his face. It was all directly downhill from there. Partial deafness, the loss of the ear, sudden macular degeneration the week after the surgery and, I think, a surgery too long delayed made for a crap of a last five years.

[Demagogue8990]

@FoxCassidy I thank you for the above complement. I am definitely not insecure. I was, in fact, offended by your comment concerning the "practice" issue. If you truly believed that this was a cadaveric dissection, then I excuse your lay assumption & apologize for my flippant remark. Please stay tuned to my channel, as there will soon be more videos that will astound you. Take care.