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Journal of Maxillofacial and Oral Surgery

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01-03-2020 | Wound Infection | Clinical Paper

PMMC Flap Revisited and its Clinical Outcome in 150 Patients

Authors: Venkatesh Anehosur, Punit S. Dikhit, Nikhil Nagraj, Bhushan Jayade, Niranjan Kumar

Published in: Journal of Maxillofacial and Oral Surgery | Issue 1/2020

Abstract

Introduction

Pectoralis myocutaneous flap remains the workhorse for the reconstruction of large defects in the head and neck region despite free flaps gaining popularity; because of its drawbacks such as long operating hours, high cost and special skill techniques, it is not used in most of the institutions. Even in our institution, free tissue transfers are carried out on a regular basis, but there is a definite scope and role for PMMC flap in reconstruction. We present our experience with pectoralis major myocutaneous flap in terms of postoperative complications, donor site morbidity, flap survival and long-term healing of the flap.

Materials and methods

In this study, 150 patients who underwent pectoralis myocutaneous flap reconstruction from 2008 to 2016 were analysed for postoperative complications like donor site morbidity, flap survival and long-term healing of the flap.

Results

On analysis of our data, it was found that the most common complication was wound dehiscence, which was seen in 25 patients(16%), followed by orocutaneous fistula in 15 (10%), wound infection and partial skin margin necrosis, which was seen in a maximum of 12 each(8%), hematoma in 5 (3%), and donor site wound dehiscence in 5 (3%), and there was no case of total flap failure or carotid blowout.

Discussion

We conclude that PMMC flap along with its modifications is the most cost-effective and associated with least complications.

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Title: PMMC Flap Revisited and its Clinical Outcome in 150 Patients
Authors: Venkatesh Anehosur
Punit S. Dikhit
Nikhil Nagraj
Bhushan Jayade
Niranjan Kumar
Publication date: 01-03-2020
Publisher: Springer India
Keywords: Wound Infection
Wound Dehiscence
Published in: Journal of Maxillofacial and Oral Surgery / Issue 1/2020
Print ISSN: 0972-8279
Electronic ISSN: 0974-942X
DOI: https://doi.org/10.1007/s12663-019-01228-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

PMMC Flap Revisited and its Clinical Outcome in 150 Patients

Abstract

Introduction

Materials and methods

Results

Discussion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Discussion

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