Original Research Article
Year: 2020 | Month: December | Volume: 10 | Issue: 12 | Pages: 325-332
Utility of Locoregional Flaps in Buccal Mucosa Reconstruction: An Institutional Experience of a Large Cohort
Rajani Bejjihalli1, Nadimul Hoda2, Vasantha Dhara3, Sabitha Kortikere4, Jayesh Nathani5, Subhabrata Ghosh6
1MDS, Assistant Professor, Oral Oncology, Kidwai Memorial Institute of Oncology, Bangalore, India 560029,
2MDS, Assistant Professor , Oral Oncology, Kidwai Memorial Institute of Oncology, Marigowda Road, Bangalore, 560029, India.
3MDS, Fellow, Oral Oncology, Kidwai Memorial Institute of Oncology, Bangalore, India.
4MDS, Professor & Head, Oral Oncology, Kidwai Memorial Institute of Oncology, Bangalore, India.
5MDS, Fellow, Oral Oncology, Kidwai Memorial Institute of Oncology, Bangalore, India.
6MDS, Fellow, Oral Oncology, Kidwai Memorial Institute of Oncology, Bangalore, India.
Corresponding Author: Vasantha Dhara
ABSTRACT
Objective: To evaluate the utility of locoregional flaps for the reconstruction of buccal mucosa defects in the Indian population attending a tertiary cancer centre.
Materials and Methods: A retrospective study of 302 patients and their records was done, who underwent reconstruction of buccal mucosa with locoregional flaps from January 2016-2017. Buccal fat pad, nasolabial flap, masseter flap, forehead flap, PMMC flap were used for reconstruction and evaluated.
Results: The most commonly used was the PMMC flap in 42.05% of cases, followed by nasolabial flap (25.1%), masseter flap (17.8%), buccal fat pad (11.5%) and forehead flap in (3.3%) of cases. Total flap survival rate was 98.01% with satisfactory functional and esthetic outcomes.
Conclusion: Due to their reliable vascularity, ease of harvesting the flap, and minimal postoperative morbidities, locoregional flaps are still ideal options to reconstruct buccal mucosa defects. These are valuable in resource constrained, high volume centres especially in patients with poor performance and low socio economic strata.
Key words: Buccal mucosa, Reconstruction, locoregional, nasolabial flap, pectoralis major myocutaneous flap.