Reconstructive procedures in orofacial malignancies at tertiary care hospital in Aurangabad d Maharashtra: an observational study

2014 
Present study describes the various types of reconstructive procedures undertaken and its outcome in the Orofacial cancer patients at the tertiary care hospital in Aurangabad district of Maharashtra during the study period. Total of 40 cases with squamous cell carcinoma were studied. The procedures done were flaps in 12 cases, Myocutaneous flaps in 23 cases and free flaps in 3 cases. Pectoralis Major Myocutaneous (PMMC) Flap repair was the most common type complications in PMMC Flap repair, we found partial Flap necrosis in one case, Flap Dehiscence in 2 cases, Infection in 3 cases, Seroma in one case, orocutaneous fistula in 2 in one case. Overall outcome analysis in PMMC repair showed good functional outcome i cases, good speech intelligibility as well as mouth opening in 82.6% p patients. Overall functional and aesthetic outcome was found to be best in patients with Free Flap reconstruction and Split Present study describes the various types of reconstructive procedures undertaken and its outcome in the Orofacial cancer patients at the tertiary care hospital in Aurangabad district of Maharashtra during the study period. Total of 40 cases with cell carcinoma were studied. The procedures done were Split Thickness Skin Graft in 2 cases, Naso flaps in 12 cases, Myocutaneous flaps in 23 cases and free flaps in 3 cases. Pectoralis Major Myocutaneous (PMMC) Flap repair was the most common type of reconstructive procedure employed and it was done in 17 cases. On analysis of PMMC Flap repair, we found partial Flap necrosis in one case, Flap Dehiscence in 2 cases, Infection in 3 cases, Seroma in one case, orocutaneous fistula in 2 cases, restricted jaw movement in 3 cases and Donor site morbidity Overall outcome analysis in PMMC repair showed good functional outcome i n the form of oral diet in 85.5 cases, good speech intelligibility as well as mouth opening in 82.6% p atients and good aesthe patients. Overall functional and aesthetic outcome was found to be best in patients with Free Flap reconstruction and Split Present study describes the various types of reconstructive procedures undertaken and its outcome in the Orofacial cancer patients at the tertiary care hospital in Aurangabad district of Maharashtra during the study period. Total of 40 cases with Split Thickness Skin Graft in 2 cases, Naso -labial flaps in 12 cases, Myocutaneous flaps in 23 cases and free flaps in 3 cases. Pectoralis Major Myocutaneous (PMMC) reconstructive procedure employed and it was done in 17 cases. On analysis of PMMC Flap repair, we found partial Flap necrosis in one case, Flap Dehiscence in 2 cases, Infection in cases, restricted jaw movement in 3 cases and Donor site morbidity n the form of oral diet in 85.5 % good aesthe tic outcome in 86.95% patients. Overall functional and aesthetic outcome was found to be best in patients with Free Flap reconstruction and Split
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