Pancholi Mayank, Sharma Sanjay, Desai Sanjay M, Agrawal Deepak
Department of Surgical Oncology, Sri Aurobindo Medical College and Post Graduate Institute, Indore, Madhya Pradesh, India.
Ann Maxillofac Surg. 2016 Jul-Dec;6(2):219-222. doi: 10.4103/2231-0746.200320.
Oral cavity cancers are fairly common and have propensity to recur locally. Since Pectoralis Major Myocutaneous (PMMC) flap is the most widely used first flap for reconstruction, it is exhausted at the earliest and recurrence poses a formidable challenge for reconstructive surgeon. Present study evaluated the feasibility of contralateral Pectoralis Major Myocutaneous Flap for reconstruction after resection of recurrent tumour.
This was a study of the patients presenting with recurrent oral cavity cancer after exhausted ipsilateral Pectoralis Major Myocutaneous Flap (PMMC) in whom we used contralateral Pectoralis Major Myocutaneous Flap (Crossed PMMC Flap) for reconstruction between October 2013 to June 2016.
Five patients with recurrence underwent reconstruction with contralateral Pectoralis Major Myocutaneous Flap. In all the flap was successfully used to reconstruct defects involving the entire buccal mucosa and in one patient the flap could be used to reconstruct full thickness resection defect(crossed bipedal PMMC Flap) with ease.
Crossed Pectoralis Major Myocutaneous Flap can be used safely and reliably for reconstruction of the buccal mucosal defect and in selected patients even for full thickness cheek defect as folded bipaddle Pectoralis Major Myocutaneous Flap.
口腔癌相当常见，且有局部复发的倾向。由于胸大肌肌皮瓣（PMMC）是重建时最常用的首选皮瓣，它最早会被用尽，而复发性肿瘤给重建外科医生带来了巨大挑战。本研究评估了对侧胸大肌肌皮瓣用于复发性肿瘤切除术后重建的可行性。
这是一项针对同侧胸大肌肌皮瓣（PMMC）用尽后出现复发性口腔癌的患者的研究，在2013年10月至2016年6月期间，我们使用对侧胸大肌肌皮瓣（交叉PMMC皮瓣）进行重建。
5例复发患者接受了对侧胸大肌肌皮瓣重建。在所有患者中，皮瓣均成功用于重建累及整个颊黏膜的缺损，在1例患者中，皮瓣可轻松用于重建全层切除缺损（交叉双叶胸大肌肌皮瓣）。
交叉胸大肌肌皮瓣可安全可靠地用于颊黏膜缺损的重建，在选定患者中，甚至可作为折叠双叶胸大肌肌皮瓣用于全层颊部缺损的重建。
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