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Single Stage Reconstruction of Full Thickness Defects of Cheek with Pectoralis Major Myocutaneous Flap Using an Innovative Flap Technique

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A Correction to this article was published on 07 February 2022

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Abstract

The purpose of this article is to present an innovative technique in harvesting the pectoralis major myocutaneous flap (PMMC) which is very useful for reconstruction of post-ablative full thickness defects of cheek in elderly female patients. This is a prospective study of patients who underwent reconstruction with PMMC flap for post-ablative full thickness defects of the cheek and mandible in a tertiary cancer center over a period of 36 months. Sixty patients were included in the study. Mean duration of the hospital stay was 12 days. Eight patients (13.33%) had minor wound dehiscence, 6 (10%) had marginal skin necrosis of the flap, 2 (3.33%) patients had venous congestion, and 4 (6.66%) had wound dehiscence at the palate. Four (6.66%) patients had a gradual necrosis of the outer paddle. Our modification of elevation of the PMMC flap prevents its shearing which is especially useful in raising this flap in elderly female patients affected with advanced oral cancer.

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Authors and Affiliations

  1. Department of Plastic Surgery, MNJ Institute of Oncology, Lakdikapul, Hyderabad, Telangana, India, 500004

    Baswa Mani Kumari & G. T. Jonathan

  2. Department of Pediatric Surgery, Employees State Insurance Corporation (ESIC) Medical College & Superspeciality Hospital, Sanathnagar, Hyderabad, Telangana, India, 500038

    Suhasini Gazula

Authors
  1. Baswa Mani Kumari
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  2. G. T. Jonathan
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  3. Suhasini Gazula
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Contributions

Concepts: Baswa Mani Kumari

Design: Baswa Mani Kumari and G. T. Jonathan

Definition of intellectual content: Baswa Mani Kumari, G. T. Jonathan, and Suhasini Gazula

Literature search: G. T. Jonathan and Suhasini Gazula

Clinical studies: Baswa Mani Kumari and G. T. Jonathan

Experimental studies: NA

Data acquisition: G. T. Jonathan

Data analysis: Baswa Mani Kumari and G. T. Jonathan

Statistical analysis: G. T. Jonathan and Suhasini Gazula

Manuscript preparation: G. T. Jonathan and Suhasini Gazula

Manuscript editing: Baswa Mani Kumari, G. T. Jonathan, and Suhasini Gazula

Manuscript review: Baswa Mani Kumari, G. T. Jonathan, and Suhasini Gazula

Guarantor: Baswa Mani Kumari, G. T. Jonathan, and Suhasini Gazula

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Correspondence to Suhasini Gazula.

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The original version of this article was revised. Figure 4 is now corrected.

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Kumari, B.M., Jonathan, G.T. & Gazula, S. Single Stage Reconstruction of Full Thickness Defects of Cheek with Pectoralis Major Myocutaneous Flap Using an Innovative Flap Technique. Indian J Surg Oncol 13, 377–382 (2022). https://doi.org/10.1007/s13193-021-01482-7

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  • DOI: https://doi.org/10.1007/s13193-021-01482-7

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