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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?

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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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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Sharad Pawar Dental College and Hospital, Wardha, Maharashtra, 442004, India

    Nitin Bhola, Anendd Jadhav, Rajiv Borle, Gaurav Khemka, Sanatan Kumar & Harshit Shrivastava

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  1. Nitin Bhola
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  2. Anendd Jadhav
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  3. Rajiv Borle
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  4. Gaurav Khemka
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  5. Sanatan Kumar
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  6. Harshit Shrivastava
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Correspondence to Nitin Bhola.

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Bhola, N., Jadhav, A., Borle, R. et al. 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?. Oral Maxillofac Surg 19, 125–131 (2015). https://doi.org/10.1007/s10006-014-0458-1

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  • DOI: https://doi.org/10.1007/s10006-014-0458-1

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