RECONSTRUCTION- A PUZZLE!!!
Journal Title: IJSR-International Journal Of Scientific Research - Year 2019, Vol 8, Issue 7
Abstract
AIM: The reconstructive surgeon has to restore defect with best aesthetic and function. In recent times the high success rate of free flap has made the large defect reconstruction a possibility. The aim is to assess and evaluate the clinical outcomes in patients undergoing free flap and local flap reconstruction. METHODS: This was a retrospective study of 53 patients undergoing reconstructions with free flaps (31) and local flap (22) from June 2015 to June 2017. Types of free flap performed were Anterolateral Thigh, Radial Forearm and Fibula. Types of Local/pedicle flap performed were Pectoralis Major Myocutaneous flap, Deltopectoral flap, Nasolabial flap, forehead and scalp flap. Patient data was collected and analyzed for flap survival, complication, operative time, functional and oncological outcomes. RESULTS: The patients included 35 males and 17 females, with a mean age of 42 years. The most common tumor location was the Buccal mucosa. The majority of the diagnosed tumors were Squamous cell carcinoma. Overall flap success rate for free flap was 88% and for local flap/pedicle flap was 100%. Venous thrombosis was the most common cause for re-exploration in free flaps. The most common complication was oro-cutaneous fistula in both local/pedicle and free flaps. The average operating time for free flap was 7hr 30mins (simultaneously harvesting the graft) and for local flap was 5hr 50mins. The most important advantages with free flap are replacement of bone tissue and reconstruction of large defects. Middle third mandibular resection has no better substitute than free fibula graft. CONCLUSION: Free flap is a reliable, feasible and easy method in reconstruction of large defect with good aesthetic and functional outcome. Local flap is effective in smaller defects but cannot replace bony tissue.
Authors and Affiliations
Dr. Pranay Pradeep Pardeshi, Dr. Ashok Mehta, Dr. Rajesh Valand, Dr. Ritesh Gupta, Dr. Amit Patil
Keywords
Related Articles
- EP ID EP631059
- DOI -
- Views 46
- Downloads 0
FOREIGNERS TO PULP AND PERIODONTIUM – REPORT OF 2 CASES
Presence of a foreign object embedded in and around a tooth is unusual. Such object may get lodged and become a source of pain and infection, causing the patient to present to the dentist. This paper present two such cas...
ROLE OF MAGNETIC RESONANCE SPECTROSCOPY (MRS) IN VARIOUS RING ENHANCING LESIONS IN BRAIN
Aim and objective: To study the role of MR spectroscopy in the evaluation and differential diagnosis of various ring enhancing lesions in the brain with multi-voxel proton MR spectroscopy. Materials and methods: It is th...
EVALUATION OF OUTPATIENT DEPARTMENT IN A PUBLIC SUPER SPECIALITY HOSPITAL IN INDIA
It has become essential for healthcare providers to understand and measure structure, process and outcome of OPD service and its gaps, so that any perceived gap in delivery of service is identified and suitably addressed...
PREVALENCE OF FLUOROSCOPIC CALCIUM IN PATIENTS WITH CORONARY ARTERY DISEASE AND ITS ASSOCIATION WITH VARIOUS RISK FACTORS
Background: Coronary artery calcification (CAC) is a predictor of coronary artery disease (CAD) and closely related to the predictor of future cardiac events. Objective: To assess the prevalence of fluoroscopic calcium i...
A STUDY ON UNUSED AND EXPIRED DRUG DISPOSAL PRACTICES : KNOWLEDGE AND BEHAVIOURAL PATTERNS AMONG THE RURAL POPULATION
INTRODUCTION: Unused and expired drugs in the households constitute a dominating cause of environmental contamination with drugs and other health hazards in addition to Industrial waste of the pharmaceutical companies. T...