Jha Rohit Kumar, Jami Sreeja, Tiwari Rahul V C, Purohit Jayendra, Vipindas A P, Ibrahim Mohammed, Binyahya Fatima Abdullah
Department of Surgical Oncology, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
Oral and Maxillofacial Surgery, Redmond, Washington, US.
J Pharm Bioallied Sci. 2021 Nov;13(Suppl 2):S1291-S1294. doi: 10.4103/jpbs.jpbs_111_21. Epub 2021 Nov 10.
Cosmetic defects after the major orofacial disease corrections may have an effect on the overall well-being of the patient. Head-and-neck cosmetic surgeries after a major episode of oral cancer impact the functional ability of the individual in several ways. In general, two types of flap are used in reconstructive surgery: microvascular free flaps and regional pedicle flaps. In socioeconomically poor countries like India, bilobed pectoralis major myocutaneous (PMMC) flap has been seen as a mainstay in facial reconstructive surgeries.
The present study was conducted on 100 individuals with oral neoplasm who underwent resective surgery had a soft-tissue defect. All the complications that arose after reconstructive surgery were noted. Simple proportions were recorded.
Majority of the individuals had the buccal mucosa as the common site of oral neoplasm, and the tumor nodes and metastases staging was I + II. One individual sustained total flap necrosis. Wound infection and dehiscence were the most common complications.
PMMC is best proven for flap reconstruction in oral neoplasm cases. It is established to be effective with good acceptability and very few complications. Due to these reasons, in spite of the known advances in facial reconstructive surgeries, this technique is widely followed in developing countries.
口腔颌面部重大疾病矫正后的美容缺陷可能会影响患者的整体健康状况。口腔癌重大发作后的头颈美容手术会在多个方面影响个体的功能能力。一般来说，重建手术中使用两种类型的皮瓣：微血管游离皮瓣和区域带蒂皮瓣。在像印度这样社会经济贫困的国家，双叶胸大肌肌皮瓣（PMMC）被视为面部重建手术的主要手段。
本研究对100例接受切除手术且存在软组织缺损的口腔肿瘤患者进行。记录重建手术后出现的所有并发症。记录简单比例。
大多数患者的口腔肿瘤常见部位为颊黏膜，肿瘤结节和转移分期为I + II。1例患者出现皮瓣完全坏死。伤口感染和裂开是最常见的并发症。
PMMC在口腔肿瘤病例的皮瓣重建中已得到充分验证。它被证实有效，具有良好的可接受性且并发症极少。由于这些原因，尽管面部重建手术有了已知的进展，但在发展中国家这种技术仍被广泛采用。
