Pectoralis Major Rib Osteomyocutaneous Flap in Primary Mandibular Reconstruction for Oral Cavity Carcinoma in Geriatric Population: Is it Better than Fibular Free Flap?
Comorbidity, Free tissue flaps, Geriatric, Head and neck neoplasm, Hemi-mandibulectomy, Oral cavity cancer, Pectoralis major rib osteo myocutaneous flap (PMROC), Postoperative complications
Citation Information :
Khunteta N. Pectoralis Major Rib Osteomyocutaneous Flap in Primary Mandibular Reconstruction for Oral Cavity Carcinoma in Geriatric Population: Is it Better than Fibular Free Flap?. J Mahatma Gandhi Univ Med Sci Tech 2018; 3 (1):17-20.
Oral cavity cancer in geriatric population is amongst the common cancer seen in our part of world. Squamous Cell Carcinoma is the commonest histology. Generally they come with locally advanced cancer, with multiple comorbid conditions. The morbidity of Radical resection and osteomyo cutaneous free flap reconstruction is higher than younger age group. This high morbidity can lead to mortality also in this age group.
One stage reconstruction of the mandible with soft tissue of the oral cavity and face with pectoralis major Rib osteomyocutaneous (PMROC flap) pedicle flap is one of good option than free flap. PMROC Flap reconstruction is a shorter duration procedure, less morbidity, good cosmetic and functional outcome.
In this article we will discuss our experience of four cases.
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