title: Modified pectoralis major myocutaneous flap for the total glossectomy defects: Effect on quality of life.
abstract: BACKGROUND
  There is a general notion that, total glossectomy with laryngeal preservation leads to high dependency of tracheostomy and/or feeding tube. The objective of this study is to analyze the quality of life in terms of tube dependency following total glossectomy with a modified pectoralis major myocutaneous flap (PMMC) reconstruction and laryngeal suspension.
  
  
  METHODS
  The retrospective study included consecutive patients operated from July 2012 to February 2015 proven advanced Carcinoma of tongue. We analyzed the time to wean off tracheostomy and feeding tube in 56 patients who underwent total glossectomy and a modified technique of PMMC reconstruction.
  
  
  RESULTS
  The median time for tracheostomy weaning was 10 days and nasogastric tube was 16 days.
  
  
  CONCLUSIONS
  Modified technique of reconstruction with PMMC in total glossectomy is a viable option with minimal functional morbidity. Quality of life in terms of tracheostomy and feeding tube dependency is minimal. J. Surg. Oncol. 2016;114:32-35. © 2016 Wiley Periodicals, Inc.
authors.affiliation: Department of Surgical Oncology, Basavatarakam Indo American Cancer Hospital and Research Institute, Hyderabad, India.
authors.forename: Kranthi Kumar
authors.initials: KK
authors.lastname: Gangiti
authors.affiliation: Department of Surgical Oncology, Basavatarakam Indo American Cancer Hospital and Research Institute, Hyderabad, India.
authors.forename: Jonathan T
authors.initials: JT
authors.lastname: Gondi
authors.affiliation: Department of Surgical Oncology, Basavatarakam Indo American Cancer Hospital and Research Institute, Hyderabad, India.
authors.forename: Hemantkumar
authors.initials: H
authors.lastname: Nemade
authors.affiliation: Department of Surgical Oncology, Basavatarakam Indo American Cancer Hospital and Research Institute, Hyderabad, India.
authors.forename: L M Chandra Sekhara Rao
authors.initials: LM
authors.lastname: Sampathirao
authors.affiliation: Department of Surgical Oncology, Basavatarakam Indo American Cancer Hospital and Research Institute, Hyderabad, India.
authors.forename: K V V N
authors.initials: KV
authors.lastname: Raju
authors.affiliation: Department of Surgical Oncology, Basavatarakam Indo American Cancer Hospital and Research Institute, Hyderabad, India.
authors.forename: T Subramanyeshwar
authors.initials: TS
authors.lastname: Rao
mesh_terms: D000328:Adult; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D005260:Female; D058752:Free Tissue Flaps / Q000637:transplantation*; D005927:Glossectomy; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D064827:Myocutaneous Flap / Q000637:transplantation*; D010369:Pectoralis Muscles / Q000637:transplantation; D011788:Quality of Life; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D014062:Tongue Neoplasms / Q000601:surgery*; D014139:Tracheostomy / Q000706:statistics & numerical data; D016896:Treatment Outcome
keywords: pectoralis major myocutaneous flap; quality of life; swallowing; total glossectomy; tracheostomy