Nuts and bolts of PMMC flap in oral cancer and its clinical outcome in 168 indian patients: A retrospective analysis
Introduction: The gold standard for reconstruction is the microvascular free flaps, whereas pedicled flaps are generally employed as a rescue procedure. Pectoralis major myocutaneous flap (PMMC) flap being a reliable flap is associated with high rate of complication. So, the purpose of this study wa...
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| Language: | English |
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Elsevier
2021-04-01
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| Series: | Journal of Oral Biology and Craniofacial Research |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212426821000208 |
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| author | Vijaykumar Girhe Akanksha A. Auti Prachi Girhe Rohinee Wagre |
| author_facet | Vijaykumar Girhe Akanksha A. Auti Prachi Girhe Rohinee Wagre |
| author_sort | Vijaykumar Girhe |
| collection | DOAJ |
| description | Introduction: The gold standard for reconstruction is the microvascular free flaps, whereas pedicled flaps are generally employed as a rescue procedure. Pectoralis major myocutaneous flap (PMMC) flap being a reliable flap is associated with high rate of complication. So, the purpose of this study was to check and assess the predictability of PMMC Flap and its clinical outcome in 168 Indian patients. Materials and method: We conducted a retrospective study of PMMC flap which was harvested in 168 Indian oral cancer patients in 3 years time span. Patients were kept on follow up for 1–3 years. Rate of complication were documented for flap necrosis and wound dehiscence; and patient related data like neck bulk acceptance and range of motion were recorded. Gender comparison of complications were also documented. Results: The most common complication was wound dehiscence in 11 (6.5%) patients. Partial flap necrosis was observed in 3 (1.8%) female patients. There was no case of total flap necrosis. Questionare method was used for patients to record neck bulk acceptance. Range of motion was evaluated during follow up period. Follow up period of all the patients was 1–3 years. Conclusion: PMMC flap is still a well founded ‘workhorse’ flap for reconstruction in head and neck cancer patients and can be used successfully with acceptable morbidity. |
| format | Article |
| id | doaj-art-bfc388bb1f0642e884b1a609a5200f2c |
| institution | DOAJ |
| issn | 2212-4268 |
| language | English |
| publishDate | 2021-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Oral Biology and Craniofacial Research |
| spelling | doaj-art-bfc388bb1f0642e884b1a609a5200f2c2025-08-20T02:50:27ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682021-04-0111236136410.1016/j.jobcr.2021.02.003Nuts and bolts of PMMC flap in oral cancer and its clinical outcome in 168 indian patients: A retrospective analysisVijaykumar Girhe0Akanksha A. Auti1Prachi Girhe2Rohinee Wagre3Department of Oral and Maxillofacial Surgery, DR HSRSM Dental College, Hingoli, Maharashtra, India; Corresponding author.Department of Oral and Maxillofacial Surgery, C.S.M.S.S. Dental College, Aurangabad, Maharashtra, IndiaDepartment of Oral and Maxillofacial Surgery, DR HSRSM Dental College, Hingoli, Maharashtra, IndiaDepartment of Oral and Maxillofacial Surgery, C.S.M.S.S. Dental College, Aurangabad, Maharashtra, IndiaIntroduction: The gold standard for reconstruction is the microvascular free flaps, whereas pedicled flaps are generally employed as a rescue procedure. Pectoralis major myocutaneous flap (PMMC) flap being a reliable flap is associated with high rate of complication. So, the purpose of this study was to check and assess the predictability of PMMC Flap and its clinical outcome in 168 Indian patients. Materials and method: We conducted a retrospective study of PMMC flap which was harvested in 168 Indian oral cancer patients in 3 years time span. Patients were kept on follow up for 1–3 years. Rate of complication were documented for flap necrosis and wound dehiscence; and patient related data like neck bulk acceptance and range of motion were recorded. Gender comparison of complications were also documented. Results: The most common complication was wound dehiscence in 11 (6.5%) patients. Partial flap necrosis was observed in 3 (1.8%) female patients. There was no case of total flap necrosis. Questionare method was used for patients to record neck bulk acceptance. Range of motion was evaluated during follow up period. Follow up period of all the patients was 1–3 years. Conclusion: PMMC flap is still a well founded ‘workhorse’ flap for reconstruction in head and neck cancer patients and can be used successfully with acceptable morbidity.http://www.sciencedirect.com/science/article/pii/S2212426821000208PMMC FlapPost-operative complicationsNeck bulk acceptanceRange of motion |
| spellingShingle | Vijaykumar Girhe Akanksha A. Auti Prachi Girhe Rohinee Wagre Nuts and bolts of PMMC flap in oral cancer and its clinical outcome in 168 indian patients: A retrospective analysis Journal of Oral Biology and Craniofacial Research PMMC Flap Post-operative complications Neck bulk acceptance Range of motion |
| title | Nuts and bolts of PMMC flap in oral cancer and its clinical outcome in 168 indian patients: A retrospective analysis |
| title_full | Nuts and bolts of PMMC flap in oral cancer and its clinical outcome in 168 indian patients: A retrospective analysis |
| title_fullStr | Nuts and bolts of PMMC flap in oral cancer and its clinical outcome in 168 indian patients: A retrospective analysis |
| title_full_unstemmed | Nuts and bolts of PMMC flap in oral cancer and its clinical outcome in 168 indian patients: A retrospective analysis |
| title_short | Nuts and bolts of PMMC flap in oral cancer and its clinical outcome in 168 indian patients: A retrospective analysis |
| title_sort | nuts and bolts of pmmc flap in oral cancer and its clinical outcome in 168 indian patients a retrospective analysis |
| topic | PMMC Flap Post-operative complications Neck bulk acceptance Range of motion |
| url | http://www.sciencedirect.com/science/article/pii/S2212426821000208 |
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