Top

Published in:

01-12-2019 | Oral Cancer | Original Article

Assessment of Masticatory Function in Oral Cancer Patients with Mandibulectomy Followed by Pectoralis Major Myocutaneous Flap Reconstruction

Authors: Kumar M. Vinchurkar, Rashmi S. Patil, Manoj Togale, Vishwanath Pattanshetti

Published in: Indian Journal of Surgical Oncology | Issue 4/2019

Abstract

Mandibular resections have a dramatic effect on oral cavity functions. Ablative surgical defects are complex which are better reconstructed with free flaps. In developing 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.

Metgudmath RB, Metgudmath AR, Metgudmath VV, Roy B, Das AT (2013) Versatility of pectoralis major myocutaneous flap in oncosurgery and its role in developing countries. Indian J Otolaryngol Head Neck Surg 65(Suppl 1):80–84. https://doi.org/10.1007/s12070-012-0535-4 CrossRefPubMed

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 CrossRefPubMed

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 CrossRefPubMedPubMedCentral

List MA, Ritter-Sterr C, Lansky SB (1990) A performance status scale for head and neck cancer patients. Cancer 66(3):564–569CrossRefPubMed

Langius A, Björvell H, Lind MG (1994) Functional status and coping in patients with oral and pharyngeal cancer before and after surgery. Head Neck 16(6):559–568CrossRefPubMed

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):21CrossRef

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 CrossRefPubMed

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 CrossRefPubMed

Haribhakti VV, Kavarana NM, Tibrewala AN (1993) Oral cavity reconstruction: an objective assessment of function. Head Neck 15(2):119–124CrossRefPubMed

10.

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 CrossRefPubMedPubMedCentral

11.

Savant DN, Kavarana NM, Bhathena HM, Salkar S, Ghosh S (1994) Osteomyocutaneous flap reconstruction for major mandibular defects. J Surg Oncol 55(2):122–125CrossRefPubMed

12.

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):287–296CrossRefPubMed

13.

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):731–737CrossRefPubMed

14.

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 CrossRefPubMed

15.

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 CrossRefPubMed

16.

Xiao 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–e861CrossRefPubMedPubMedCentral

17.

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 CrossRefPubMed

18.

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 CrossRefPubMedPubMedCentral

19.

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):327–341PubMedPubMedCentral

20.

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 CrossRefPubMed

Title: Assessment of Masticatory Function in Oral Cancer Patients with Mandibulectomy Followed by Pectoralis Major Myocutaneous Flap Reconstruction
Authors: Kumar M. Vinchurkar
Rashmi S. Patil
Manoj Togale
Vishwanath Pattanshetti
Publication date: 01-12-2019
Publisher: Springer India
Keywords: Oral Cancer
Oral Cavity Carcinoma
Published in: Indian Journal of Surgical Oncology / Issue 4/2019
Print ISSN: 0975-7651
Electronic ISSN: 0976-6952
DOI: https://doi.org/10.1007/s13193-019-00955-0

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Assessment of Masticatory Function in Oral Cancer Patients with Mandibulectomy Followed by Pectoralis Major Myocutaneous Flap Reconstruction

Abstract

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 4/2019

Parapharyngeal Hemangiopericytoma: the Role for Mandibular Proximal Segment Replantation—Review of Literature

Modified Reinforced Staple Closure Technique Decreases Postoperative Pancreatic Fistula After Distal Pancreatectomy

Sentinel Lymph Node Biopsy in Colon Cancer: an Institutional Experience

Extradigital Painful Glomus Tumour of Heel Pad

Sonographic Criteria for Uterine Curettage: Suspecting Endometrial Neoplasia

Does Quality of Life Among Modified Radical Mastectomy and Breast Conservation Surgery Patients Differ? A 5-Year Comparative Study