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Crossed pectoralis major myocutaneous flap for recurrent oral cavity cancers

BACKGROUND: Oral cavity cancers are fairly common and have propensity to recur locally. Since Pectoralis Major Myocutaneous (PMMC) flap is the most widely used first flap for reconstruction, it is exhausted at the earliest and recurrence poses a formidable challenge for reconstructive surgeon. Prese...

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Autores principales: Pancholi, Mayank, Sharma, Sanjay, Desai, Sanjay M., Agrawal, Deepak
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5343631/
https://www.ncbi.nlm.nih.gov/pubmed/28299261
http://dx.doi.org/10.4103/2231-0746.200320
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author Pancholi, Mayank
Sharma, Sanjay
Desai, Sanjay M.
Agrawal, Deepak
author_facet Pancholi, Mayank
Sharma, Sanjay
Desai, Sanjay M.
Agrawal, Deepak
author_sort Pancholi, Mayank
collection PubMed
description BACKGROUND: Oral cavity cancers are fairly common and have propensity to recur locally. Since Pectoralis Major Myocutaneous (PMMC) flap is the most widely used first flap for reconstruction, it is exhausted at the earliest and recurrence poses a formidable challenge for reconstructive surgeon. Present study evaluated the feasibility of contralateral Pectoralis Major Myocutaneous Flap for reconstruction after resection of recurrent tumour. METHODS: This was a study of the patients presenting with recurrent oral cavity cancer after exhausted ipsilateral Pectoralis Major Myocutaneous Flap (PMMC) in whom we used contralateral Pectoralis Major Myocutaneous Flap (Crossed PMMC Flap) for reconstruction between October 2013 to June 2016. RESULTS: Five patients with recurrence underwent reconstruction with contralateral Pectoralis Major Myocutaneous Flap. In all the flap was successfully used to reconstruct defects involving the entire buccal mucosa and in one patient the flap could be used to reconstruct full thickness resection defect(crossed bipedal PMMC Flap) with ease. CONCLUSION: Crossed Pectoralis Major Myocutaneous Flap can be used safely and reliably for reconstruction of the buccal mucosal defect and in selected patients even for full thickness cheek defect as folded bipaddle Pectoralis Major Myocutaneous Flap.
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spelling pubmed-53436312017-03-15 Crossed pectoralis major myocutaneous flap for recurrent oral cavity cancers Pancholi, Mayank Sharma, Sanjay Desai, Sanjay M. Agrawal, Deepak Ann Maxillofac Surg Original Article - Retrospective Study BACKGROUND: Oral cavity cancers are fairly common and have propensity to recur locally. Since Pectoralis Major Myocutaneous (PMMC) flap is the most widely used first flap for reconstruction, it is exhausted at the earliest and recurrence poses a formidable challenge for reconstructive surgeon. Present study evaluated the feasibility of contralateral Pectoralis Major Myocutaneous Flap for reconstruction after resection of recurrent tumour. METHODS: This was a study of the patients presenting with recurrent oral cavity cancer after exhausted ipsilateral Pectoralis Major Myocutaneous Flap (PMMC) in whom we used contralateral Pectoralis Major Myocutaneous Flap (Crossed PMMC Flap) for reconstruction between October 2013 to June 2016. RESULTS: Five patients with recurrence underwent reconstruction with contralateral Pectoralis Major Myocutaneous Flap. In all the flap was successfully used to reconstruct defects involving the entire buccal mucosa and in one patient the flap could be used to reconstruct full thickness resection defect(crossed bipedal PMMC Flap) with ease. CONCLUSION: Crossed Pectoralis Major Myocutaneous Flap can be used safely and reliably for reconstruction of the buccal mucosal defect and in selected patients even for full thickness cheek defect as folded bipaddle Pectoralis Major Myocutaneous Flap. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC5343631/ /pubmed/28299261 http://dx.doi.org/10.4103/2231-0746.200320 Text en Copyright: © 2017 Annals of Maxillofacial Surgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article - Retrospective Study
Pancholi, Mayank
Sharma, Sanjay
Desai, Sanjay M.
Agrawal, Deepak
Crossed pectoralis major myocutaneous flap for recurrent oral cavity cancers
title Crossed pectoralis major myocutaneous flap for recurrent oral cavity cancers
title_full Crossed pectoralis major myocutaneous flap for recurrent oral cavity cancers
title_fullStr Crossed pectoralis major myocutaneous flap for recurrent oral cavity cancers
title_full_unstemmed Crossed pectoralis major myocutaneous flap for recurrent oral cavity cancers
title_short Crossed pectoralis major myocutaneous flap for recurrent oral cavity cancers
title_sort crossed pectoralis major myocutaneous flap for recurrent oral cavity cancers
topic Original Article - Retrospective Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5343631/
https://www.ncbi.nlm.nih.gov/pubmed/28299261
http://dx.doi.org/10.4103/2231-0746.200320
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