Regional Pedicled Flaps in Head and Neck Oncoreconstruction in Current Era – Single Centre Experience 0f 20 Cases
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 1
Abstract
Head and neck malignancy are among one of the leading cause of moratlity and morbidity and increasing day by day and. We did a retrospective observational study to identify the demography, modes of reconstruction in department of general surgery, GRMC, Gwalior during the period of six months from September 2017 to march 2018 Results: Out of 20 cases operated during this period, all were males (100%). Most common decade of presentation was 40-60 years of age. The commonest site of cancer was buccal mucosa. Mode of reconstruction used was regional pedicled flaps including Deltopectoral cutaneous flap , Pectoralis Major Myocutaneous flap, Forehead flap by a single surgeon. 20 Delto pectoral flap (DP), 20 PMMC flaps, 2 forehead flap were performed. Functional and aesthetic outcome was good and all patients were satisfied with the results. 2 PMMC flap failed and was debrided . One DP showed distal necrosis that was managed conservatively. To conclude DP & PMMC are a major workhorse flaps for reconstruction with good acceptance among patients. Both the flaps are easy and rapid in elevation with a short learning curve with no special training required. We recommend these reconstruction methods for all centres which are not equipped with microsurgical skills and intensive post operative trained care.
Authors and Affiliations
Shyam Gupta, Akhil Kumar Chouhan, Rajesh Prajapati, Achal Gupta
Keywords
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- EP ID EP434786
- DOI 10.9790/0853-1801082730.
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