Extreme Cases in the OR

[JPSOMSInterns]

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I was lucky to be able to spend a great deal of time on the Maxillofacial Oncology & Reconstructive Surgery team, in which we have seen a lot of incredible cases. Many of these cases involve resection of various structures in the face and neck due to cancer and the use of other body parts to reconstruct these areas. It is not uncommon for us to resect parts of a mandible and use their fibulas from their legs to help reconstruct that area. Or to resect parts of their tongues and then use parts of their forearms to rebuild it to return their function. We have also seen many gunshot wound or large trauma victims that require additional reconstruction, even ranging from using parts of the cartilage in their ribs to taking parts of their scapula from their backs. And then to make it all work we then have to anastomose various veins and arteries together under microscopes to ensure that these new flaps survive with adequate and consistent blood supply when they are transferred to a new area. --SS

What have you seen?

 

[Eli Manning]

I was lucky to be able to spend a great deal of time on the Maxillofacial Oncology & Reconstructive Surgery team, in which we have seen a lot of incredible cases. Many of these cases involve resection of various structures in the face and neck due to cancer and the use of other body parts to reconstruct these areas. It is not uncommon for us to resect parts of a mandible and use their fibulas from their legs to help reconstruct that area. Or to resect parts of their tongues and then use parts of their forearms to rebuild it to return their function. We have also seen many gunshot wound or large trauma victims that require additional reconstruction, even ranging from using parts of the cartilage in their ribs to taking parts of their scapula from their backs. And then to make it all work we then have to anastomose various veins and arteries together under microscopes to ensure that these new flaps survive with adequate and consistent blood supply when they are transferred to a new area. --SS

What have you seen?

I spent time with the perio plastic surgery team. I watched as a lower molar was taken from advanced chronic periodontitis to a mere moderate chronic periodontitis in a matter of weeks. They reduced the probe depths from 6mm to 4mm. Incredible.

 

[Localnative]

I spent time with the perio plastic surgery team. I watched as a lower molar was taken from advanced chronic periodontitis to a mere moderate chronic periodontitis in a matter of weeks. They reduced the probe depths from 6mm to 4mm. Incredible.

Awe-inspiring ****.

As a resident, we had a Surg Tech named Lily. She was a jovial, quite portly, sweet Jamaican gal. And a real cutup. During a 20 hour surgery, she decided to pull me knickers down at the halfway point. The gentle waft of cool air was exhilarating.

 

[Eli Manning]

Awe-inspiring ****.

As a resident, we had a Surg Tech named Lily. She was a jovial, quite portly, sweet Jamaican gal. And a real cutup. During a 20 hour surgery, she decided to pull me knickers down at the halfway point. The gentle waft of cool air was exhilarating.

Was this a 20 hour crown lengthening surgery within the department of periodontal plastic and reconstructive surgeons?

 

[schmoob]

Spoken like a true periodontist

i want to know more about the exciting field of perio plastic and reconstructive surgery. how hard is it to get a fellowship in this new and exciting field?

3 years? That's a bargain to become a Periodontal Plastic Surgeon!

I'm a perio intern. I've learned how to teach hygiene instructions to my patients and how to read journal articles about attachment loss and red and orange complex bacteria. Derp. .

I spent time with the perio plastic surgery team. I watched as a lower molar was taken from advanced chronic periodontitis to a mere moderate chronic periodontitis in a matter of weeks. They reduced the probe depths from 6mm to 4mm. Incredible.

The trolling gets old.

 

[Eli Manning]

The trolling gets old. .

Oh boo hoo. Did I hurt someone’s little feelings??

 

[free99]

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