A young male
of 32 years Age developed a cancer of buccal mucosa involving part
of mandible due to addiction to Guthka 10-15 packets a day.
Successfully operated in rural hospital Zydus Medical College &
Hospital, Dahod.Patient was seen by various consultants in private
hospitals at Dahod and advised to go to higher centre at
Baroda/Ahmedabad for further management like oncosurgery. Patient
belongs to low socioeconomics class could not afford treatment in
higher centre due to cost and travelling factor. Patientcame to
surgery department Zydus Medical College & Hospital on 25th December
2017 seen by Dr Mahesh Pukar HOD Surgery department. He decided to
do surgery on that patient and after thorough examination and
investigations. Patient was taken to surgery on 30th December 2017.
Right side hemimandibulectomy with wide excision of buccal mucosa
growth was done. Reconstruction of the defect was done with
titanium mandibular plate and forehead flap. Surgery was done by
Dr.Mahesh Pukar, Dr.Shailesh Ratod, Dr.Dipak Rathva, Dr.Rahul Yadav,
Dr.Gunjan Vadwala. Post operative period was uneventful; patient was
started on oral diet after a week. Refashioning of flap and suture
removal was done after three weeks. One month after surgery patient
was referred to Ahmedabad cancer hospital for radiotherapy.This was
a first onco–surgery done for oral cancer in Zydus Medical College &
Hospital, Civil Hospital, and Dahod.