Just a compilation not for any special occasion!
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Lamboul Abbe ▪ LIVE Surgery ▪ Reconstructia de buza dupa excizia tumorilor - Duration: 2:08.Hello, I'm Dr. Vladislav GYEBNAR plastic and reconstructive surgeon
I will present to you today a technique for closure of defect
following a large lower lip tumor surgical excision
The excised area had 4 centimetres in length
and has occupied about 50% of the lower lip,
fact that required the use of specific techniques of reconstructive surgery in order to close the defect
The loss of substance created by the tumor and the safety surgical margins
exceeds the possibility of direct closure of the defect
Abbe flap is the solution I have chose
This method fills the defect of the lower lip using a part of the upper lip
This requires two surgeries
In the first stage, a flap from the upper lip is partly detached and rotated into the defect from the lower lip
the two lips remaining attached to each other for three weeks
In the second surgery the pedicle is divided and the flap inset and the two lips are separated
During the three weeks the oral feeding is possible and the talking is a little more difficult
Warning! This video contains graphic surgery. Viewer discretion is advised.
Red - tumor # Green- flap
The flap is rotated after it has been incised
Suture of the flap
The patient adapts fast on the new temporary situation
Postoperative aspect
2 months after the surgery
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BESTETIC – QUALITY, PROFESSIONALISM, TRUST
Dr. Vladislav GYEBNAR PhD Plastic, esthetic, reconstructive and hand surgery
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A bit of Puerto de la Cruz, Radazul & Nature | Exploring Canary Islands #02 - Duration: 10:02.working...
afternoon..
having our lunch
Monday, after work..
sun is shining
06.30 P.M.
we are going to..
to...
Tacoronte
we changed our plans and we`re going to Puerto de la Cruz instead of Tacoronte
we`re going to see a local park
the husband is trying to film something
waiting for the sun
after the sunset
we`re going to take our car..
if it`s not locked
we`ll find out
we left it for one hour and we`re exceeding expected time for 30min
husband has remembered that the car park is working till 09:00 P.M.
Now is 09:00 P.M. !!!
we`ve made it!
Tuesday
I need a hat
or maybe sunglasses?
where are we going?
to the shopping mall
we need some food..
and..and..and...and... (seriously?)
hard disc drive for video and photo backups
what a great idea! Just leave your kids in the trolley with a mobile phone and you`re good :)
choosing..
we`ll take this one
I like these kids
that`s all?
yes! Now we`re going to EAT :)
tell everybody that we`ve made our dinner
we`ve made our dinner
nooooo...
what`s no????
show more enthusiasm!
WE`VE MADE OUR DINNER!
we`re trying to escape the rain
What is the name of the city we`ve just visited?
*apparently it was Radazul :D
we`ve got tired.. :) and now we`re going to the mountains to relax.. wife whispers: I guess so..I don't know
Hello
do you know where this road leads to?
not sure..
maybe you would like to find out together?
not sure..
get in, I`ll take you for a ride
what have you seen?
not much... everything is in the clouds..
no views for today..
Maybe I would start running with such views
did you see something?
grey..grey..
white..white..!!
let`s go further
OMG..so cold!...
where is he?
he`s trying to warm up
he gave up :)
it`s soooo cold.. very cold..
cold..huh??
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