PMMC WITH TWO SEPARATE SKIN ISLANDS -AN UNIQUE TECHNIQUE AND ITS USE IN COMPLEX HEAD AND NECK DEFECTS-Reference-Cited by-同舟云学术

PMMC WITH TWO SEPARATE SKIN ISLANDS -AN UNIQUE TECHNIQUE AND ITS USE IN COMPLEX HEAD AND NECK DEFECTS

Published:2021-06-01 Issue: Volume: Page:76-78
ISSN:
Container-title:INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH
language:en
Short-container-title:ijsr

Author:

K.Thammaiah Siddappa¹,P Murthy Samskruthi²,Prasad P Krishna³,Halkud Rajshekar⁴,Chavan Purushottham⁵,Shetty Rathan⁶,R Sarkar Sunayana⁷

Affiliation:

1. MS,MCh(surgical oncology), Associate Professor, Head and Neck Dept, Kidwai memorial institute of oncology (KMIO), Bengaluru, India.

2. MS,MCh(head and neck oncology),FHNO, Assistant Professor, Head and Neck Dept, Kidwai memorial institute of oncology, Bengaluru, India.

3. MS,DNB, Resident in Mch Head and Neck surgery course, KMIO, Bengaluru, India.

4. MS,MCh (surgical oncology), Professor and HOD, Head and Neck Dept, Kidwai memorial institute of oncology (KMIO), Bengaluru, India.

5. MS,MCh (head and neck oncology), Associate Professor, Head and Neck Dept, Kidwai memorial institute of oncology (KMIO), Bengaluru, India.

6. MS,MCh (head and neck oncology), Assistant Professor, Head and Neck Dept, Kidwai memorial institute of oncology, Bengaluru, India.

7. MS, fellow in Head and Neck surgery Course, KMIO, Bengaluru, India

Abstract

More than two thirds of oral cancer patients present in advanced stage in India, from subsites like Buccal mucosa and tongue often present with N3b nodes with skin involvement. This type of advanced disease usually requires composite resection and extended radical neck dissection. If both the defects are adjacent to each other can be addressed by bipaddle PMMC. If the signicant normal tissue lies between the primary and neck defects [level 2b,3,5] it should be Reconstruction with a single free ap or combination of free and locoregional aps. Free ap reconstruction requires expertise and other ancillary instruments which is difcult to organize in COVID situation. We overcame this problem by designing the PMMC in a unique manner with two island skin paddles based on the pectoral branch of thoraco-acromial vessels to cover both the defects.

Publisher

World Wide Journals

Reference22 articles.

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5. Agostini, T.; Lazzeri, D.; Agostini, V.; Shokrollahi, K. Anterolateral thigh flap as the ideal flap to full-thickness cheek reconstruction. J. Craniofac. Surg. 2010, 21, 1897–1898.

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1. RECONSTRUCTION OF TWO DISCRETE SURGICAL DEFECTS IN HEAD AND NECK IN THE ABSENCE OF FREE FLAPAVAILABILITY-AN INSTITUTIONAL EXPERIENCE;INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH;2022-01-01