Open AccessMyocutaneous v/s micro vascular free flaps in oral cavity reconstruction - a comparative study
Author(s) -
Umanath Nayak,
Bharatendu Swain
Publication year - 2004
Publication title -
indian journal of otolaryngology and head and neck surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.229
H-Index - 22
eISSN - 2231-3796
pISSN - 0973-7707
DOI - 10.1007/bf02974306
Subject(s) - otorhinolaryngology , medicine , head and neck surgery , oral cavity , surgery , free flap reconstruction , free flap , dentistry
Micro vascular free tissue transfer scores over the traditional myocutaneous flaps by providing better cosmesis and function. However, the increased operating tine and costs and the necessity for two operating teams sometimes, negate these advantages and even where this facility is freely available, myoentancous flaps continue to be widely used.To determine the ideal choice of reconstruction in patients after oral resection, we compared our experience with these two methods of reconstruction. Since 1997, when we first started micro vascular reconstruction, 17 patients have undergone this procedure for oral reconstruction. During this same period, 40 patients had pectoralis major myocutaneous flap reconstruction of the oral cavity. These two groups are compared with regard to cosmetic and functional results (as measured by patient's level of satisfaction) operating time, duration of hospitalization, cost and complications.