Open AccessSALVAGE TONGUE FLAP IN A CURIOUS CASE OF PECTORAL GAP PHENOMENON
Author(s) -
Vikas Sankar K,
Kasturi Bharadwaj,
Girish Kumar Pati,
Swopna Sagar Das,
Pradyumna Kumar Sahoo,
Sangram Panda,
Sudam Sadangi,
Tim Houghton T,
Sunil Agrawala
Publication year - 2022
Publication title -
paripex indian journal of research
Language(s) - English
DOI - 10.36106/paripex/1501087
Subject(s) - medicine , tongue , surgery , glossectomy , resection , anatomy , pathology
Pectoralis Major myocutaneous (PMMC) flap is the workhorsefor reconstruction in composite resection of oral cavity caseswhere free flaps are not feasible or not indicated. Due to theease of harvesting it and shorter learning curve, it is done inmost of the cases. But when there are any intraoperativecomplications like shearing of the flap or if there are anyanamolies in the muscle, the surgeons have options forreconstruction like deltopectoral flap, forehead flap,nasolabial flap, latissimus dorsi flap and so on with their ownadvantages and disadvantages. Tongue flap is an option to beconsidered albeit occurrence of some restriction in thetongue movement and articulation difficulty in post operativelife. Here we discuss a case of absent medial part of pectoralismajor muscle for which we did a salvage tongue flap.