A Comparative Retrospective Study Of Plastic  Reconstructive Surgery After Excision Of Oral  Cavity Carcinoma Using Pmmc Flap, Radial Free Flap,  Or Alt Free Flap

Darshan  Patel; Shashank  Desai; Pramod Menon

doi:10.48165/ijabms.2022.243815

Authors

Darshan Patel (3rd year resident doctor, Department of General Surgery)Department Of General Surgery,Gcs Hospital And Research Centre,Ahmedabad, Gujarat
Shashank Desai (HOD & Professor, Department of General Surgery)Department Of General Surgery,Gcs Hospital And Research Centre,Ahmedabad, Gujarat
Pramod Menon (Plastic Surgeon)Department Of General Surgery,Gcs Hospital And Research Centre,Ahmedabad, Gujarat

DOI:

https://doi.org/10.48165/ijabms.2022.243815

Keywords:

Pectoralis Major Myocutaneous Flap (PMMC), Anterolateral Thigh free flap (ALT free flap), Radial free flap

Abstract

OBJECTIVES & AIMS:  To determine whether the known risk factors such as comorbidities like diabetes & hypertension, or smoking increase the complications of flap transfer. Whether the type of flap transfer has any effect on flap related complications or on post-operative rehabilitation of patients.METHODOLOGY:This is a retrospective study conducted at GCS Hospital, Ahmedabad, between January 2020 to July 2021. Sample size is 63 patients with oral cavity cancer, out of which 21 underwent PMMC flap reconstruction, 21 underwent free ALT free flap reconstruction and 21 underwent Radial free flap reconstruction.CONCLUSION:Risks have not increased complications in free flap or PMMC group in our study. Various other studies have similar results however a larger patient pool may be needed to assess them. Though the flap related complications & donor site related complications are more with PMMC flap as compared to ALT & Radial free flap, statistically there is no significant difference. Also, in the functional post-op outcomes there is no statistically significant difference with PMMC flap, ALT free flap or Radial free flap.

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