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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Main Authors: Rohit Kumar Jha, Sreeja Jami, Rahul V C Tiwari, Jayendra Purohit, A P Vipindas, Mohammed Ibrahim, Fatima Abdullah Binyahya
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Journal of Pharmacy and Bioallied Sciences
Subjects:
Online Access:http://www.jpbsonline.org/article.asp?issn=0975-7406;year=2021;volume=13;issue=6;spage=1291;epage=1294;aulast=Jha
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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
collection DOAJ
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.
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spelling doaj.art-70b50e5e1b294d98a68faae1e84c12462022-12-21T20:46:16ZengWolters Kluwer Medknow PublicationsJournal of Pharmacy and Bioallied Sciences0975-74062021-01-011361291129410.4103/jpbs.jpbs_111_21The effectiveness of the bilobed pectoralis major myocutaneous flap at a tertiary care hospital: A retrospective analytical studyRohit Kumar JhaSreeja JamiRahul V C TiwariJayendra PurohitA P VipindasMohammed IbrahimFatima Abdullah BinyahyaBackground: 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.http://www.jpbsonline.org/article.asp?issn=0975-7406;year=2021;volume=13;issue=6;spage=1291;epage=1294;aulast=Jhabilobed pectoralis major myocutaneouscomplicationsflap necrosis
spellingShingle 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
Journal of Pharmacy and Bioallied Sciences
bilobed pectoralis major myocutaneous
complications
flap necrosis
title 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_short 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
topic bilobed pectoralis major myocutaneous
complications
flap necrosis
url http://www.jpbsonline.org/article.asp?issn=0975-7406;year=2021;volume=13;issue=6;spage=1291;epage=1294;aulast=Jha
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