Abstract
Mandibular resections have a dramatic effect on oral cavity functions. Ablative surgical defects are complex which are better reconstructed with free flaps. In develo** countries like India, where majority of patients come from low socioeconomic status, pectoralis major myocutaneous flap is the most preferred reconstructive option. A retrospective questionnaire study was carried out to assess the mastication in patients with mandibulectomy followed by pectoralis major myocutaneous flap reconstruction. At the end of the study, it was observed that 86.6% of the patients had a good performance despite the lack of bony reconstruction. Thus, pectoralis major myocutaneous flap still stands strong in reconstructing large oral cavity defects.
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Metgudmath RB, Metgudmath AR, Metgudmath VV, Roy B, Das AT (2013) Versatility of pectoralis major myocutaneous flap in oncosurgery and its role in develo** countries. Indian J Otolaryngol Head Neck Surg 65(Suppl 1):80–84. https://doi.org/10.1007/s12070-012-0535-4
Shah JP, Gil Z (2009) Current concepts in management of oral cancer--surgery. Oral Oncol 45(4–5):394–401. https://doi.org/10.1016/j.oraloncology.2008.05.017
Girish Rao S, Aditya TN, Gopinath KS, Anand K (2009) Free fibula flap in the reconstruction of mandible: a report of six cases. J Maxillofac Oral Surg 8(3):275–278. https://doi.org/10.1007/s12663-009-0067-y
List MA, Ritter-Sterr C, Lansky SB (1990) A performance status scale for head and neck cancer patients. Cancer 66(3):564–569
Langius A, Björvell H, Lind MG (1994) Functional status and co** in patients with oral and pharyngeal cancer before and after surgery. Head Neck 16(6):559–568
Maciejewski O, Smeets R, Gerhards F, Kolk A, Kloss F, Stein JM, Kasaj A, Koch F, Grosjean M, Riediger D, Yekta SS (2010) Gender specific quality of life in patients with oral squamous cell carcinomas. Head Face Med 20(6):21
Kekatpure VD, Manjula BV, Mathias S, Trivedi NP, Selvam S, Kuriakose MA (2013) Reconstruction of large composite buccal defects using single soft tissue flap--analysis of functional outcome. Microsurgery 33(3):184–190. https://doi.org/10.1186/1746-160X-6-21
Speksnijder CM, van der Bilt A, Abbink JH, Merkx MA, Koole R (2011) Mastication in patients treated for malignancies in tongue and/or floor of mouth: a 1-year prospective study. Head Neck 33(7):1013–1020. https://doi.org/10.1002/hed.21573
Haribhakti VV, Kavarana NM, Tibrewala AN (1993) Oral cavity reconstruction: an objective assessment of function. Head Neck 15(2):119–124
Kolokythas A (2010) Long-term surgical complications in the oral cancer patient: a comprehensive review. Part II. J Oral Maxillofac Res 1(3):e2. https://doi.org/10.5037/jomr.2010.1302
Savant DN, Kavarana NM, Bhathena HM, Salkar S, Ghosh S (1994) Osteomyocutaneous flap reconstruction for major mandibular defects. J Surg Oncol 55(2):122–125
Curtis DA, Plesh O, Miller AJ, Curtis TA, Sharma A, Schweitzer R, Hilsinger RL, Schour L, Singer M (1997) A comparison of masticatory function in patients with or without reconstruction of the mandible. Head Neck 19(4):287–296
Tsue TT, Desyatnikova SS, Deleyiannis FW, Futran ND, Stack BC Jr, Weymuller EA Jr, Glenn MG (1997) Comparison of cost and function in reconstruction of the posterior oral cavity and oropharynx. Free vs pedicled soft tissue transfer. Arch Otolaryngol Head Neck Surg 123(7):731–737
Hsing CY, Wong YK, Wang CP, Wang CC, Jiang RS, Chen FJ, Liu SA (2011) Comparison between free flap and pectoralis major pedicled flap for reconstruction in oral cavity cancer patients--a quality of life analysis. Oral Oncol 47(6):522–527. https://doi.org/10.1016/j.oraloncology
Mosahebi A, Chaudhry A, McCarthy CM, Disa JJ, Mehrara BJ, Pusic AL, Hu Q, Cordeiro PG (2009) Reconstruction of extensive composite posterolateral mandibular defects using nonosseous free tissue transfer. Plast Reconstr Surg 124(5):1571–1577. https://doi.org/10.1097/PRS.0b013e3181b98b78
**ao Y, Zhu J, Cai X, Wang J, Liu F, Wang H (2013) Comparison between anterolateral thigh perforator free flaps and pectoralis major pedicled flap for reconstruction in oral cancer patients--a quality of life analysis. Med Oral Patol Oral Cir Bucal 18(6):e856–e861
Zhang X, Li MJ, Fang QG, Sun CF (2014) A comparison between the pectoralis major myocutaneous flap and the free anterolateral thigh perforator flap for reconstruction in head and neck cancer patients: assessment of the quality of life. J Craniofac Surg 25:868–871. https://doi.org/10.1097/SCS.0000000000000443
Pradhan P, Samal S, Preetam C, Samal DK, Parida PK (2018) Pectoralis major myocutaneous flap reconstruction for the mandibular defects in advanced oral cavity malignancies: a retrospective study of 30 cases. Indian J Otolaryngol Head Neck Surg 70(3):415–420. https://doi.org/10.1007/s12070-018-1429-x
Bussu F, Gallus R, Navach V, Bruschini R, Tagliabue M, Almadori G, Paludetti G, Calabrese L (2014) Contemporary role of pectoralis major regional flaps in head and neck surgery. Acta Otorhinolaryngol Ital 34(5):327–341
O’Neill JP, Shine N, Eadie PA, Beausang E, Timon C (2010) Free tissue transfer versus pedicled flap reconstruction of head and neck malignancy defects. Ir J Med Sci 179:337–343. https://doi.org/10.1007/s11845-010-0468-4
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Vinchurkar, K.M., Patil, R.S., Togale, M. et al. Assessment of Masticatory Function in Oral Cancer Patients with Mandibulectomy Followed by Pectoralis Major Myocutaneous Flap Reconstruction. Indian J Surg Oncol 10, 620–623 (2019). https://doi.org/10.1007/s13193-019-00955-0
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DOI: https://doi.org/10.1007/s13193-019-00955-0