title: 5th Rib Osteo-pectoralis Major Myocutaneous Flap-Still a Viable Option for Mandibular Defect Reconstruction.
abstract: Reconstruction of mandible is of paramount importance following ablative surgery for oral cancer. Though osteocutaneous micro-vascular free flap is generally accepted to be the mainstay of mandibular reconstruction, other reconstructive options are also done for mandibular reconstruction with good results. Seventeen patients of oral cavity cancer involving the alveolus who had underwent hemi-mandibulectomy were reconstructed using 5th rib osteo-pectoralis major myocutaneous flap. Procedure related pleural tear occurred in 3 patients during harvesting of the rib which were repaired intra-operatively with no post-operative complications. There were 2 failures in our series, in the rest 15 patients the flap had taken up; have good oral continence taking semi-solid diet and have satisfactory cosmetic appearance. This study shows that 5th rib osteo-pectoralis major myocutaneous flap is a quick, easy to learn, one stage reconstructive procedure with a good predictable cosmetic and functional outcomes.
authors.affiliation: Departments of Otorhinolaryngology & Head-Neck Surgery, North Eastern Indira Gandhi Regional Institute of Health and Medical Science (NEIGRIHMS), Shillong, 793018 Meghalaya India.
authors.forename: N Brian
authors.initials: NB
authors.lastname: Shunyu
authors.affiliation: Departments of Otorhinolaryngology & Head-Neck Surgery, North Eastern Indira Gandhi Regional Institute of Health and Medical Science (NEIGRIHMS), Shillong, 793018 Meghalaya India.
authors.forename: Jayanta
authors.initials: J
authors.lastname: Medhi
authors.affiliation: Departments of Otorhinolaryngology & Head-Neck Surgery, North Eastern Indira Gandhi Regional Institute of Health and Medical Science (NEIGRIHMS), Shillong, 793018 Meghalaya India.
authors.forename: Hanifa Akhtar
authors.initials: HA
authors.lastname: Laskar
authors.affiliation: Department of Anaesthesiology, NEIGRIHMS, Shillong, India.
authors.forename: Nari
authors.initials: N
authors.lastname: Lyngdoh
authors.affiliation: Department of Radiotherapy, Civil Hospital, Shillong, India.
authors.forename: Judita
authors.initials: J
authors.lastname: Syiemlieh
authors.affiliation: Department of ENT, AIIMS, Jodhpur, India.
authors.forename: Amit
authors.initials: A
authors.lastname: Goyal
keywords: Fifth rib osteo-pectoralis major myocutaneous flap; Hemi-mandibulectomy; Oral cancer