Dr Girhe's Center for Cranio-Maxillofacial & Reconstructive Surgery.

SCC of RT GBS T1N0 lesion treated by Composite Resection including Marginal Mandibulectomy , Level I to lll clearance (Neck Dissection) reconstruction with Nasolabial flap.

Photos from Dr Girhe's Center for Cranio-Maxillofacial & Reconstructive Surgery.'s post

Successfully conducted 29th Minor oral Surgery Workshop with enthusiastic practitioners from various parts of Maharashtra State. Had an intense interactive session with hands-on.
Announcing 30th workshop on 23rd January 2022 at Girhe's Dental Clinic, Aurangabad.

Announcing 29th workshop on Minor oral Surgery,
26th December 2021,
Aurangabad

Maxillofacial Surgery is for passionate people .
Surgical work gives immense sense of job satisfaction.
Are you inclined towards minor oral surgical procedures in day to day Dental Practice?
If Yes......
Then you have a golden opportunity of honing your oral surgical skills in most scientific ways with the best possible hands on experience.
Dr Girhe's Centre for CranioMaxillofacial, Reconstructive & Dental Implant Surgery is presenting an uniquely designed surgical workshop on Minor Oral surgeries.

Intended Output of the Workshop
To train practitioner in managing
1. Transalveolar Extraction( Removal all fractured n attempted cases)
2. Partially or Completely impacted teeth
3. Alveoloplasty
4. Frenectomy
5. Apicectomy
6. Suturing technique

In day to day dental practice we face many questions and queries like.
1. Whether tooth will be forceps extraction or surgical one??
2. What I should look for radiologically to determine tooth's approximation with maxillary sinus or inferior alveolar canal?
3. What are medicoligal things I must know in routine practice?
4. How I should manage local anesthesia (block) failures ?
5. Which local anesthesia, with or without vasoconstrictor (Adrenaline) I should use in medically compromised patient?
6. Which antibiotics , How many times , for how many days I should give?
7. How I should approach to remove fracture tooth
8. What all things should be their in my clinic to deal with medical emergencies?
9. How to deal with pts on antiplatelates like Asprin ?
10 How to manage fracture tooth during extraction??
10. How to prevent & manage complications related to extraction?
11. Which impacted tooth I attempt and which I should avoid in my practice??
12. Interdisciplinary communication??
13. What Recent Advances in Anesthesia, surgical equipments?
14. Minor oral surgeries in my day to day dental practice?

If you are interested in Scientific answers to these queries with best possible hands on You have opportunity to enhance your Knowledge n Skills by attending
*29th Workshop on Minor Oral Surgery*
Date 26 December 2021
Venue - Dr Girhe's Dental Clinic kamgaar chowk Cidco N2 Aurangabad Maharashtra.
Contact- 7798077682/9623174605
[email protected]

Course Fees 5500

Dr VIJAYKUMAR GIRHE
A/C no 50200022511574
ACCOUNT TYPE - current
IFSC CODE- HDFC0000113
HDFC BANK
AKASHWANI BRANCH

Case of carcinoma (SCC) LT RMT , treated by composite resection including disarticulation hemi-mandibulectomy , level I to IV Nodal clearance and Reconstruction with PMMC flap

MUCORMYCOSIS - Fungal osteomyelitis. Fresh cases are reporting now also . Pt reported with teeth moblity and multiple draining sinuces . Treated by necrotic bone resection.
We are treating all cases of MUCORMYCOSIS even recurrance free under GOVT scheme Inj Amphotericin which is otherwise very expensive provided for free by GOVERNMENT OF MAHARASHTRA

Photos from Dr Girhe's Center for Cranio-Maxillofacial & Reconstructive Surgery.'s post

गणपती बाप्पा मोरया

A case of SCC GBS
Treated by Composite resection reconstruction with PMMC Flap

1.तंबाखू , गुटखा व पान सेवन हे तोंडाच्या कॅन्सरचे एक मुख्य कारण आहे.
2. आपण किंवा आपल्या घरातील कुणी जर तंबाखू , गुटखा व पान यांचे सेवन करत असेल तर कृपया त्यांना तपासणीसाठी अवश्य घेऊन या,
3.बरेच लोक हे व्यसन सोडू इच्छितात पण शक्य होत नाही त्याना योग्य पध्दतीने हे व्यसन सोडण्यासाठी मोफत मार्गदर्शन केले जाईल

तोंडातील खालील लक्षणे धोक्याची घंटा असू शकते
1. तोंडात पांढरे चट्टे असणे
2 तोंडात लाल चट्टे असने
3 तोंडातील न भरणारे छाले व जखमा
4 तोंड कमी उघडणे
5 तिखट खातांना अंगार किंवा जळजळ होणे
6 तोंडात फोड येणे

*तोंडाच्या कॅन्सर चे ऑपरेशन महात्मा फुले जनआरोग्य योजनेत (जीवनदायी योजनेत) मोफत*

तरी तंबाखू , गुटखा व पान सेवन करणाऱ्यानीं व्यसनमुक्त व आरोग्यदायी जीवनासाठी भेटा

*डॉ गि-हे मॅक्सिलोफेशियल सर्जरी सेंटर व दातांचा दवाखाना*
फ्लॅट A-1H
झाम्बड टॉवर
*कामगार चौक*
सिडको N2
औरंगाबाद

7798077682
9623950280
*कृपया हा मेसेज जास्तीत जास्त गरजू लोकपर्यंत पाठवा*

गुटखा सेवनामुळे न उघडणाऱ्या तोंडाची शस्त्रक्रिया करून तोंड पूर्वीसारखे उघडता येते
जर गुटखा सेवनामुळे आपले तोंड उघडत नसेल तर आजच भेटा
डॉ गि-हे मॅक्सिलोफेशियल सर्जरी सेंटर व डेंटल क्लिनिक,
कामगार चौक
सिडको N 2
औरंगाबाद
संपर्क 9623950280
Check out DR GIRHE DENTAL CLINIC on Google!
https://g.page/r/CeDd6qu_mraBEA0

Photos from Dr Girhe's Center for Cranio-Maxillofacial & Reconstructive Surgery.'s post

We all are aware of the rampant surge in the fungal infection i.e Mucormycosis which is very aggressively spreading and people are losing eyes, jaw and their precious life. Seeing the need of the current scenario to serve these patients, to diagnose and get treated with multidisciplinary approach under one roof, we have come with the concept of MUCORMYCOSIS CLINIC. So be vigilant and beware and help your near and dear ones to save their precious life.

मुकॉरमायकोसिस या बुरशिजन्य रोगाचा पादुर्भाव खूप वाढला आहे ,बरेच लोक आपले डोळे, जबडा आणि काही वेळेस जीव सुद्धा गमावत आहे ,याची तीव्रता लक्षात घेता कोविड नंतर उदभवणाऱ्या या आजाराचे वेळीच निदान व उपचार करण्यासाठी तज्ज्ञांच्या सर्व चमुसह आम्ही या रुग्णांना योग्य मार्गदर्शन व उपचारासाठी मुकॉरमायकोसिस क्लीनिक ही संकल्पना मराठवाड्यात प्रथमच कार्यान्वित करत आहोत, गरजू लोकांना योग्य मार्गदर्शन करा

MUCORMYCOSIS IN POST COVID pts is one of the most fetal POST COVID complication . Today we are going to discuss on this topic in Association with IDA HADAPSAR (PUNE)BRANCH .
All Dental Surgeons Can Join

Photos from Dr Girhe's Center for Cranio-Maxillofacial & Reconstructive Surgery.'s post

गावा गावाशी जागवा। भेद भाव समूळ मिटवा ।
उजळवा ग्रामोन्नतीचा दिवा ।

मानवतेचा संदेश देणारे वंदनीय राष्ट्रसंत तुकडोजी महाराज यांच्या जयंती निमित्त विनम्र अभिवादन🙏

Hello Friende
Mankind is facing tough time due to COVID 19 pandemic.
This Pandemic has impacts on all aspects of life mainly of health.
Even after defeating it is coming back in form POST COVID SYNROME.
As far as Head and Neck is concern Post COVID OSTEOMYELITIS mainly MUCORMYCOSIS INCIDENCE is very since last 3 months
I have seen 40 plus cases operated 22 of them this BLACK FUNGI is horrible.

Mostly is apportunistic infection secondary to suppressed immunity and combination of other contributing factors like
1 High dose steroids
2 Deranged sugar levels
3 Post Covid Thrombolembolic episode
4 Depleted Leukocyte counts

Mucor has high affinity towards vessels it invades vessels and lead to complete vascular occlusion leading to AVN

Clinical presentation starts With
1 Dental Pain
2 Paraesthesia
3 Even attachment loss with boggy gingival swelling c
4Multiple Draning sinuses
5 Black nasal discharge
6 Bone exposure
7 Periorbital swelling
8 Unexplained tooth mobility
and many more

Most of time we as Dental Surgeon see this cases so be very careful and through in clinical examination by doing so you can save someone's life
I came across few cases where Dental Surgeons either attempted RCT or did extraction for these draining sinuses

So friends any clinical presentation mainly in maxilla is not line with odontogenic cause pl don't hesitate to Investigate or to discuss with Maxillofacial Surgeons.
In doubt get CT PNS done .
These cases need Immediate and Aggressive Surgical intervention and Systemic Antifungal therapy.
These are very aggressive infections with heigh mortality.

For Any queries Feel free to communicate
Regarded
Dr Vijaykumar Girhe
Oral and Maxillofacial Surgeon
Aurangabad, Maharashtra
Whatsapp no 7798077682
Email [email protected],

विनम्र अभिवादन

सामाजिक रूढी-परंपरांच्या विळख्यात अडकलेल्या समाजाचा रोष पत्करून स्त्री शिक्षणासाठी संघर्ष करणाऱ्या, क्रांतीज्योती सावित्रीबाई फुले यांच्या पुण्यतिथी निमित्त विनम्र अभिवादन !

महात्मा ज्योतिबा फुले यांनी निर्माण केलेल्या वाटेवर अग्रेसर राहण्यासाठी, महिलांना आत्मसन्मानाचे स्थान प्राप्त करून देण्यासाठी सावित्रीबाईंनी अमूल्य योगदान दिले आहे. आज स्त्रिया प्रत्येक क्षेत्रात पुरुषांच्या बरोबरीने काम करू शकतात त्या फक्त सावित्रीबाईंमुळेच. त्यांच्या पावन स्मृतींना शतशः नमन !💐👏
Dr.Girhe Dental clinic, N-2 Cidco, Aurangabad.

०८ मार्च २०२१ (जागतिक महिला दिन)
प्रत्येक नारीला
तिच्या कर्तृत्वाला ,
तिच्या नेतृत्वाला,
तिच्या सहन शक्तीला ,
तिच्या त्यागाला,
तिच्या प्रेमाला...
माझा सलाम
जागतिक महिला दिनाच्या हार्दिक शुभेच्छा💐 !! डॉ.गिर्हे दातांचा दवाखाना, एन-२ सिडको औरंगाबाद.

We feel privileged that Mr.Heewon Park , Vice Managing Director of Osstem Implant visited our clinic. He appreciated our 12 yrs of association with Osstem Implants. We are proud to be first Osstem users in Marathwada region. We are touched by Mr. Park's humbleness and simplicity. Looking forward for long-term association with Osstem implants.
Implants #dentistry #dentistrylife #dentistryworld #osstem #osstemimplant #dentalimplants #dentalimplantsurgery #dentalimplantology #BringingBackSmiles #oralsurgerylife #oralsurgery #DentalClinic #bestdentalclinic #aurangabad !!!!!

Case of SCC rt mandible with N1 Neck treated by level l to V neck clearance , Resection of tumor with disarticulation hemimandibulectomy , Reconstruction done with Pectoralis Major Mayocutaneous flap (PMMC) .
Given choice Microvascular Free fibula my first choice for reconstruction of such defects.
Suggestions Most welcome.

निरोगी आयुष्याची निवड करा
तंबाखु, गुटखा सेवन टाळा।

तोंडातील खालील गोष्टीकडे दुर्लक्ष करू नका
1 तोंडातील न भरून येणाऱ्या जखमा किंवा छयाले
2 तोंडातील पांढरे किंवा लाल चट्टे
3 गुटखा सेवनामुळे न उघणारे तोंड
4 हिरड्यावरील जखमा व रक्त येणे
5 मानेवरील गाठी
ही लक्षणे कॅन्सर ची असू शकतात
तेव्हा दुर्लक्ष करु नका आमच्या कडे भेटा तपासणी करून निश्चित व्हा

आमच्याकडे VELSCAN या अत्याधुनिक तंत्रज्ञान वापरून कॅन्सरचे अत्यंत सुरवातीच्या स्टेजमध्ये निदान केले जाते

We are committed for excellence in Oral cancer care
visit us at

https://g.co/kgs/FSSCkZ

T4 buccal mucosa SCC PRT CT negative for distant metastasis treated by composite resection and Reconstruction with Bi-pedle PMMC flap .

विनम्र अभिवादन

https://m.facebook.com/story.php?story_fbid=10225375382913656&id=1296505319

SCC Rt side Maxilla ,RMT with ITF extension, did Composite Bite Resection, ITF Clearance , Neck Dissection and Reconstruction with PMMC falp.
If you come accoros any non healing ulcer in mouth do refer to Maxillofacial Onco-Surgeon.

स्त्री शिक्षणाच्या प्रनेत्या, प्रथम शिक्षिका ,समाजसुधारक सावित्रीबाई फुले यांना विनम्र अभिवादन