Year : 2019

Volume : Volume 10

Issue : Issue 3

Address for correspondence :
Dr. Deepak Khanna.
dkmaxfax@gmail.com

Abstract

Aim:  To evaluate the success of the PMMF in maxillofacial reconstruction, to evaluate the healing outcome at the donor and recipient sites after harvest of PMMF, its complications and the Post radiation health of PMMF.  Materials and method: A clinical study was based on 50 patients who underwent PMMF reconstruction for soft tissue and composite defects following oncological resection for biopsy proven Squamous cell carcinoma in the oral cavity. Primary tumor as dictated by the site and the size was excised with minimum of 1cm margin. PMMF flap was harvested as per standard procedure described and inset into the recipient site defect. Intraoperative parameters like size of the defect and site of the defect were recorded. Postoperative subjective parameters were recorded with a questionnaire on the quality of life. Objectively wound healing parameters were recorded at the donor and the recipient sites. The complications and post radiation parameters were also recorded.  Results: Post-operative subjective evaluation of the patient indicated that 90% felt that it will be difficult for them to go to daily work without getting embarrassed. Bulging over the clavicle was present in 20% of the patients. Shrinkage was evident in 90% of the flaps at the end of 3 months. Dehiscence was present in 18 % of the flaps subjected to radiation. Total loss of flap was observed in 6% of the patients. A postoperative complication such as or cutaneous fistula was present in 26% of the patients at the end of three months. Conclusion: The PMMF flap is a reliable and practical method of transfer of soft tissue for reconstruction of postsurgical complex ablative defects in oral and maxillofacial region.

Keywords: PMMF flap, reconstruction, complications, quality of life and maxillofacial.