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01.06.2015 | Original Article | Ausgabe 2/2015

Oral and Maxillofacial Surgery 2/2015

Is there still a role for bilobed/bipaddled pectoralis major myocutaneous flap for single-stage immediate reconstruction of post ablative oncologic full-thickness defects of the cheek?

Zeitschrift:
Oral and Maxillofacial Surgery > Ausgabe 2/2015
Autoren:
Nitin Bhola, Anendd Jadhav, Rajiv Borle, Gaurav Khemka, Sanatan Kumar, Harshit Shrivastava

Abstract

Introduction

Reconstruction of full-thickness defects of the head and neck is a challenge. In this clinical study, we assessed the role of the bilobed/bipaddled pectoralis major myocutaneous flap (PMMF) for the reconstruction of large full-thickness defects of the cheek, after resection of oral cancer.

Materials and method

After resection of oral cancer, 62 cases of through-and-through defects of the oral cavity were reconstructed using folded/bipaddled/bilobed PMMF flap. All were males and presented with locally advanced oral squamous cell carcinoma (SCC), which involved the buccal mucosa and gingivo buccal sulcus (n = 53) and gingivo buccal sulcus + lip (n = 9).

Results

All the flaps survived, and no patient developed a major complication. The most common complication in the current series was wound dehiscence. In 8 % of cases, wound dehiscence was found at the donor site; in 6.45 % of cases, dehiscence was present at the recipient site; and in 4.83 % of cases, dehiscence was present at the neck. All the wounds healed secondarily with regular dressings.

Conclusion

The bilobed/bipaddled PMMF is a straightforward and reliable flap that provides an effective mechanism to reconstruct full-thickness cheek defects while avoiding the complexity of microvascular free flaps. The bilobed/bipaddled PMMF has become our preferred reconstruction option for large full-thickness defects after resection of oral carcinoma.

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