title: Reconstruction in oral malignancy: Factors affecting morbidity of various procedures.
abstract: OBJECTIVE
  (1) To study the age and sex distribution of patient with oral malignancies. (2) To analyze various types of surgery performed. (3) Evaluation of reconstruction and factors affecting complications and its relation to the type of reconstruction.
  
  
  METHODS
  Cases of oral malignancies, undergoing surgery for the same in Sri Aurobindo Medical College and PG Institute, Indore from the period from October 1, 2012, to March 31, 2015.
  
  
  RESULTS
  Out of analysis of 111 cases of oral malignancy, 31 (27.9%) cases were in the fifth decade of life with male to female ratio 1.9:1. The commonest site of cancer was buccal mucosa. Forty-seven cases (43.2%) were in stage IVa. Diabetes was the most common co-morbidity reported, accounting for 53.9% of cases with reported morbidity. Tobacco chewing was the common entity in personal habits. All the cases underwent neck dissection along with resection of the primary. Hemimandibulectomy was the most preferred form of primary resection accounting for 53.15% (59 cases), followed by wide resection of primary 27% (30 cases). Pectoralis major myocutaneous (PMMC) flap only was the most common reconstruction across the study population. PMMC alone accounted for 38.7% (43 cases). The infection rate was 16.21%. PMMC alone accounted for 5 out of 18 (27.8%) of total infection rate, and 4.5% of the total study population. PMMC + deltopectoral accounted for 5 out of 18 (27.8%) of total infection rate, and 4.5% of the total study population.
  
  
  CONCLUSIONS
  PMMC is a major workhorse for reconstruction with better functional outcome and acceptance among operated patients.
authors.affiliation: Department of Surgical Oncology, Sri Aurobindo Medical College and Post Graduate Institute, Indore, Madhya Pradesh, India.
authors.forename: Suvadip
authors.initials: S
authors.lastname: Chakrabarti
authors.affiliation: Department of Pathology, Sri Aurobindo Medical College and Post Graduate Institute, Indore, Madhya Pradesh, India.
authors.forename: Preeti Rihal
authors.initials: PR
authors.lastname: Chakrabarti
authors.affiliation: Department of Surgical Oncology, Sri Aurobindo Medical College and Post Graduate Institute, Indore, Madhya Pradesh, India.
authors.forename: Sanjay M
authors.initials: SM
authors.lastname: Desai
authors.affiliation: Department of Surgical Oncology, Sri Aurobindo Medical College and Post Graduate Institute, Indore, Madhya Pradesh, India.
authors.forename: Deepak
authors.initials: D
authors.lastname: Agrawal
authors.affiliation: Department of Surgical Oncology, Sri Aurobindo Medical College and Post Graduate Institute, Indore, Madhya Pradesh, India.
authors.forename: Dharmendra Y
authors.initials: DY
authors.lastname: Mehta
authors.affiliation: Department of Surgical Oncology, Sri Aurobindo Medical College and Post Graduate Institute, Indore, Madhya Pradesh, India.
authors.forename: Mayank
authors.initials: M
authors.lastname: Pancholi
keywords: Deltopectoral flap; oral malignancy; pectoralis major myocutaneous flap