Surgeon(s): ***

‍Assistant Surgeon(s):  ***

‍Preoperative Diagnosis: ***

‍Postoperative Diagnosis: Same

‍Procedure(s): ***

‍Anesthesia: General

‍Implants: None

‍Specimen:***

‍Drains: None

‍Fluids: See anesthesia record

‍EBL: Minimal

‍Complications: None

‍Counts:  Correct x2

‍Indications: ​***

‍Findings: As expected

‍Procedure in Detail:

‍The patient was seen in the preoperative holding area with a H&P was updated, consents were verified, surgical site marked, and all questions and concerns related to the proposed procedure were discussed in detail.  The patient was transferred to the operating room by the anesthesia team.  The patient underwent general anesthesia with endotracheal intubation. Tegaderms were placed over the eyes. The patient was prepped and draped in the standard fashion for maxillofacial procedures.  A time-out was performed and the procedure began.

The biopsy proven tumor (SCC) at left retromolar trigione was excised with adequate margins resulting in a defect approximately 3 x 2.5 cm. A sterile marker was used to mark the incisions sparing 5 mm of attached mucoperiosteum. Incision was placed using # 15 blade upto the bone depth and mucoperiosteal flap was raised starting from the contralateral side and towards the vascular pedicle. Posterior releasing incision is made to release the flap for tension free rotation into the defect. Once adequately released, the flap is rotated to cover the defect and secured using Vicryl 4-0 suture. The donor site exposed bone was covered with White Head Varnish (WHV) pack and secured in place using prolene 3-0 suture.

The patient's face was then cleaned and the posterior pharynx was suctioned. An OG tube was used to suction out the contents of the stomach. Tegaderms were removed from the eyes. Dressings were placed. The patient was then transferred back to the care of the anesthesia team for extubation and recovery.

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