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Comparative Studies | General Surgery | India | Volume 13 Issue 1, January 2024

Observational Prospective Study of Different Reconstructive Surgery in Oral Cavity Carcinoma

Dr. Dhavalkumar S Chaudhari | Dr. Sushil Akruwala

Abstract: Objectives & Aims: 1) To evaluate the outcome of different Reconstructive surgery in oral cavity carcinoma 2) To determine the factors which increase the complication in post op reconstructive surgery ( like ? diabetes , hypertension, smoking etc. 3) The effect of flap transfer on complication or on post op rehabilitation of patients in oral cavity carcinoma. Methodology: This is a prospective study conducted at gcs hospital, Ahmedabad between Oct. 2021 to June 2022. Sample size is 40 patients with case of oral cavity carcinoma, out of which some cases underwent for PMMC Flap, Radial forearm free flap, ALT free flap, fibula flap , forehead rotational flap, deltopectoral flap and local flap. Conclusion: 1) Risks have not increased complications in PMMC or Free flap group in our study. Various other studies have similar results however a larger patient pool may be needed to assess them. 2) The PMMC flap is more favorable for patients with possibly lethal pre-op morbidities, when a long operation is not advisable and a small defect is expected as compared to the longer operation duration of ALT free flap & Radial free flap. Though the flap related complications & donor site related complications are more with forehead rotational flap as compared to PMMC. ALT & Radial forearm free flap, statistically there is no significant difference. Also in the functional post-op outcomes there is minimally statistically significant difference with PMMC flap, ALT free flap or Radial free flap, local flaps and other reconstructive surgery.

Keywords: PMMC, pectoralis major myocutaneous , ALT, anterio lateral thigh

Edition: Volume 13 Issue 1, January 2024,

Pages: 398 - 403