case_images: PMC4073453_01
case_images: Front profile preoperatively
case_images: AMS-4-115-g001.jpg
case_images: PMC4073453_01_AMS-4-115-g001.jpg
case_images: F1
case_images: Pradesh with history of trauma due to road traffic accident with motor bike, which resulted in total avulsion of his mandible [Figures 1 and 2], with the avulsed bone wrapped in a piece of wet cloth for almost 2 h [Figures 3-5].
case_images: Lateral profile preoperatively
case_images: AMS-4-115-g002.jpg
case_images: PMC4073453_01_AMS-4-115-g002.jpg
case_images: F2
case_images: Pradesh with history of trauma due to road traffic accident with motor bike, which resulted in total avulsion of his mandible [Figures 1 and 2], with the avulsed bone wrapped in a piece of wet cloth for almost 2 h [Figures 3-5].
case_images: Avulsed mandible along with attached skin in front view
case_images: AMS-4-115-g003.jpg
case_images: PMC4073453_01_AMS-4-115-g003.jpg
case_images: F3
case_images: Pradesh with history of trauma due to road traffic accident with motor bike, which resulted in total avulsion of his mandible [Figures 1 and 2], with the avulsed bone wrapped in a piece of wet cloth for almost 2 h [Figures 3-5].
case_images: Avulsed mandible along with attached skin from superior view
case_images: AMS-4-115-g004.jpg
case_images: PMC4073453_01_AMS-4-115-g004.jpg
case_images: F4
case_images: Pradesh with history of trauma due to road traffic accident with motor bike, which resulted in total avulsion of his mandible [Figures 1 and 2], with the avulsed bone wrapped in a piece of wet cloth for almost 2 h [Figures 3-5].
case_images: Avulsed mandible along with attached skin from inferior view
case_images: AMS-4-115-g005.jpg
case_images: PMC4073453_01_AMS-4-115-g005.jpg
case_images: F5
case_images: Pradesh with history of trauma due to road traffic accident with motor bike, which resulted in total avulsion of his mandible [Figures 1 and 2], with the avulsed bone wrapped in a piece of wet cloth for almost 2 h [Figures 3-5].
case_images: Patient tracheostomized and intubated
case_images: AMS-4-115-g006.jpg
case_images: PMC4073453_01_AMS-4-115-g006.jpg
case_images: F6
case_images: Patient was immediately examined for airway and hemostasis. Patient was shifted to operation theater and tracheostomy was done to secure the airway [Figure 6].
case_images: Intraoperative view of microvascular anastomosis
case_images: AMS-4-115-g007.jpg
case_images: PMC4073453_01_AMS-4-115-g007.jpg
case_images: F7
case_images: Under continuous irrigation with heparinized lactated Ringer's solution, end to end anastomosis was done with fine, non-absorbable sutures 9-0 nylon using firstly three oriental suture and then remaining equal numbers of suture [Figure 7].
case_images: Immediate postoperative after closure of skin
case_images: AMS-4-115-g008.jpg
case_images: PMC4073453_01_AMS-4-115-g008.jpg
case_images: F8
case_images: After microvascular anastomosis, vascular clamps were removed and closure was done in layers with 4-0 vicryl and finally skin was sutured with nylon [Figure 8].