The effectiveness of the bilobed pectoralis major myocutaneous flap at a tertiary care hospital: A retrospective analytical study

Background: Cosmetic defects after the major orofacial disease corrections may have an effect on the overall well-being of the patient. Head-and-neck cosmetic surgeries after a major episode of oral cancer impact the functional ability of the individual in several ways. In general, two types of flap...

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Autores principales: Rohit Kumar Jha, Sreeja Jami, Rahul V C Tiwari, Jayendra Purohit, A P Vipindas, Mohammed Ibrahim, Fatima Abdullah Binyahya
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Publicado: Wolters Kluwer Medknow Publications 2021
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spelling oai:doaj.org-article:70b50e5e1b294d98a68faae1e84c12462021-11-19T12:15:52ZThe effectiveness of the bilobed pectoralis major myocutaneous flap at a tertiary care hospital: A retrospective analytical study0975-740610.4103/jpbs.jpbs_111_21https://doaj.org/article/70b50e5e1b294d98a68faae1e84c12462021-01-01T00:00:00Zhttp://www.jpbsonline.org/article.asp?issn=0975-7406;year=2021;volume=13;issue=6;spage=1291;epage=1294;aulast=Jhahttps://doaj.org/toc/0975-7406Background: Cosmetic defects after the major orofacial disease corrections may have an effect on the overall well-being of the patient. Head-and-neck cosmetic surgeries after a major episode of oral cancer impact the functional ability of the individual in several ways. In general, two types of flap are used in reconstructive surgery: microvascular free flaps and regional pedicle flaps. In socioeconomically poor countries like India, bilobed pectoralis major myocutaneous (PMMC) flap has been seen as a mainstay in facial reconstructive surgeries. Materials and Methods: The present study was conducted on 100 individuals with oral neoplasm who underwent resective surgery had a soft-tissue defect. All the complications that arose after reconstructive surgery were noted. Simple proportions were recorded. Results: Majority of the individuals had the buccal mucosa as the common site of oral neoplasm, and the tumor nodes and metastases staging was I + II. One individual sustained total flap necrosis. Wound infection and dehiscence were the most common complications. Conclusions: PMMC is best proven for flap reconstruction in oral neoplasm cases. It is established to be effective with good acceptability and very few complications. Due to these reasons, in spite of the known advances in facial reconstructive surgeries, this technique is widely followed in developing countries.Rohit Kumar JhaSreeja JamiRahul V C TiwariJayendra PurohitA P VipindasMohammed IbrahimFatima Abdullah BinyahyaWolters Kluwer Medknow Publicationsarticlebilobed pectoralis major myocutaneouscomplicationsflap necrosisPharmacy and materia medicaRS1-441Analytical chemistryQD71-142ENJournal of Pharmacy and Bioallied Sciences, Vol 13, Iss 6, Pp 1291-1294 (2021)
institution DOAJ
collection DOAJ
language EN
topic bilobed pectoralis major myocutaneous
complications
flap necrosis
Pharmacy and materia medica
RS1-441
Analytical chemistry
QD71-142
spellingShingle bilobed pectoralis major myocutaneous
complications
flap necrosis
Pharmacy and materia medica
RS1-441
Analytical chemistry
QD71-142
Rohit Kumar Jha
Sreeja Jami
Rahul V C Tiwari
Jayendra Purohit
A P Vipindas
Mohammed Ibrahim
Fatima Abdullah Binyahya
The effectiveness of the bilobed pectoralis major myocutaneous flap at a tertiary care hospital: A retrospective analytical study
description Background: Cosmetic defects after the major orofacial disease corrections may have an effect on the overall well-being of the patient. Head-and-neck cosmetic surgeries after a major episode of oral cancer impact the functional ability of the individual in several ways. In general, two types of flap are used in reconstructive surgery: microvascular free flaps and regional pedicle flaps. In socioeconomically poor countries like India, bilobed pectoralis major myocutaneous (PMMC) flap has been seen as a mainstay in facial reconstructive surgeries. Materials and Methods: The present study was conducted on 100 individuals with oral neoplasm who underwent resective surgery had a soft-tissue defect. All the complications that arose after reconstructive surgery were noted. Simple proportions were recorded. Results: Majority of the individuals had the buccal mucosa as the common site of oral neoplasm, and the tumor nodes and metastases staging was I + II. One individual sustained total flap necrosis. Wound infection and dehiscence were the most common complications. Conclusions: PMMC is best proven for flap reconstruction in oral neoplasm cases. It is established to be effective with good acceptability and very few complications. Due to these reasons, in spite of the known advances in facial reconstructive surgeries, this technique is widely followed in developing countries.
format article
author Rohit Kumar Jha
Sreeja Jami
Rahul V C Tiwari
Jayendra Purohit
A P Vipindas
Mohammed Ibrahim
Fatima Abdullah Binyahya
author_facet Rohit Kumar Jha
Sreeja Jami
Rahul V C Tiwari
Jayendra Purohit
A P Vipindas
Mohammed Ibrahim
Fatima Abdullah Binyahya
author_sort Rohit Kumar Jha
title The effectiveness of the bilobed pectoralis major myocutaneous flap at a tertiary care hospital: A retrospective analytical study
title_short The effectiveness of the bilobed pectoralis major myocutaneous flap at a tertiary care hospital: A retrospective analytical study
title_full The effectiveness of the bilobed pectoralis major myocutaneous flap at a tertiary care hospital: A retrospective analytical study
title_fullStr The effectiveness of the bilobed pectoralis major myocutaneous flap at a tertiary care hospital: A retrospective analytical study
title_full_unstemmed The effectiveness of the bilobed pectoralis major myocutaneous flap at a tertiary care hospital: A retrospective analytical study
title_sort effectiveness of the bilobed pectoralis major myocutaneous flap at a tertiary care hospital: a retrospective analytical study
publisher Wolters Kluwer Medknow Publications
publishDate 2021
url https://doaj.org/article/70b50e5e1b294d98a68faae1e84c1246
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