Dr. Narendra N. Hirani, Dr. Nishant Pujara
Abstract: Background & Objective Reconstructing buccal defects with proper flaps can expand the indications of surgery, improve quality of life and prolong survival. This study was to investigate the indications for such application, the selection of different kinds of flaps and the skills of the reconstructive operation. Patients & Methods A total of 30 patients with small buccal mucosa carcinoma were included in this study. The patients were divided into two groups, Group A was reconstructed by Nasolabial flap, Group B was reconstructed by Pectoralis Major myocutaneous flap. The both group compared in relation to operative time consumption, intra operative bleeding, cosmetic and functional outcome, postoperative complication and morbidilty. Results good cosmetic and functional results were obtained in patients operated by nasolabial flap with less operative time consumption, intra operative bleeding, postoperative complication and morbidilty. Conclusions The nasolabial flap is a good flap for the reconstruction of small oral defects after excision of primary tumors and results in good overall cosmetic and functional outcome.
Keywords: Nasolabial flap, Pectoralis Major myocutaneous flap, buccal mucosa carcinoma