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5th Rib Osteo-pectoralis Major Myocutaneous Flap—Still a Viable Option for Mandibular Defect Reconstruction

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Abstract

Reconstruction of mandible is of paramount importance following ablative surgery for oral cancer. Though osteocutaneous micro-vascular free flap is generally accepted to be the mainstay of mandibular reconstruction, other reconstructive options are also done for mandibular reconstruction with good results. Seventeen patients of oral cavity cancer involving the alveolus who had underwent hemi-mandibulectomy were reconstructed using 5th rib osteo-pectoralis major myocutaneous flap. Procedure related pleural tear occurred in 3 patients during harvesting of the rib which were repaired intra-operatively with no post-operative complications. There were 2 failures in our series, in the rest 15 patients the flap had taken up; have good oral continence taking semi-solid diet and have satisfactory cosmetic appearance. This study shows that 5th rib osteo-pectoralis major myocutaneous flap is a quick, easy to learn, one stage reconstructive procedure with a good predictable cosmetic and functional outcomes.

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Authors and Affiliations

  1. Departments of Otorhinolaryngology & Head-Neck Surgery, North Eastern Indira Gandhi Regional Institute of Health and Medical Science (NEIGRIHMS), Shillong, 793018, Meghalaya, India

    N. Brian Shunyu, Jayanta Medhi & Hanifa Akhtar Laskar

  2. Department of Anaesthesiology, NEIGRIHMS, Shillong, India

    Nari Lyngdoh

  3. Department of Radiotherapy, Civil Hospital, Shillong, India

    Judita Syiemlieh

  4. Department of ENT, AIIMS, Jodhpur, India

    Amit Goyal

Authors
  1. N. Brian Shunyu
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  2. Jayanta Medhi
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  3. Hanifa Akhtar Laskar
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  4. Nari Lyngdoh
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  5. Judita Syiemlieh
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  6. Amit Goyal
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Corresponding author

Correspondence to N. Brian Shunyu.

Additional information

This paper was awarded the best senior consultant L. H Hiranandani Award in NEBAOICON-2013.

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Shunyu, N.B., Medhi, J., Laskar, H.A. et al. 5th Rib Osteo-pectoralis Major Myocutaneous Flap—Still a Viable Option for Mandibular Defect Reconstruction. Indian J Otolaryngol Head Neck Surg 66, 414–417 (2014). https://doi.org/10.1007/s12070-014-0732-4

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  • DOI: https://doi.org/10.1007/s12070-014-0732-4

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