Pectoralis Major MyocutaneousFlap in Head and Neck cancer: A reliable option for primary reconstruction

Dr Jagjit K Pandey; Dr Amit Ranjan; Dr Hemendra Kumar; Dr Sathish Kumar; Dr Pranav Santhalia

Volume : IX, Issue : II, February - 2020

Pectoralis Major MyocutaneousFlap in Head and Neck cancer: A reliable option for primary reconstruction

Dr Jagjit K Pandey, Dr Amit Ranjan, Dr Hemendra Kumar, Dr Sathish Kumar, Dr Pranav Santhalia

Abstract :

Background: Head and neck cancer are sixth most common cancers worldwide with cancer of oral cavity most common. The incidence of oral cancer in India is 20 per 100,000 population. Surgery is the primary treatment modality for oral cancer and defects after excision of tumour needs reconstruction. PMMC flap offers a reliable vascularity , good viability, protection of carotid artery , easy to harvest and covers even a large defect with minimal post operative complications as a reconstruction option for the surgeons. Methods :The current retrospective study was conducted in the Department of surgical oncology, AIIMS ,Patna(Bihar). Within a span of 9months, 22 reconstructions were done with PMMC flaps in patients with oral cancer and they were followed for a period of 1 year. Documentation was done for patient�s demographics, site of lesion and occurrence of complications, etc. Result: In the present study male to female ratio was 4.5:1. . Most of the patients belongs to the age group of 41-55 (40.90%) followed by 56-70 (31.81%). All the tumours were squamous cell carcinoma and presented with advanced stage of disease(stage III & IV). Majority of patient of oral malignancy presented with lower alveolus malignancy (40.9%) followed by buccal mucosa malignancy (22.7%). Overall flap related complications were recorded in 40.90% patients, and 4.5% patients developed complications at donor site. Conclusion:PMMC flap is a versatile flap for reconstruction of soft tissue defect in head and neck cancer for primary aswell as salvage reconstruction.