Primary laryngopharyngeal reconstruction using pectoralis major myocutaneous flaps - Our experience.

Twenty-one eases of laryngectomy/laryngopharyngectomy that required primary reconstruction with P. M. M. C flaps at the Division of Surgical Oncology, Regional Cancer Centre, Triyandrum were studied retrospectively from July 1995 to December 2090 and compared with the in cases where primary closure of the neopharynx was done.Four of the 21 cases developed post operative pharyngocutaneous fistulae PCF(I9%) which healed Complefely within an average period of I week compared to 4 PCFs (40%) after primary closure. (n=10), where the average healing time was 12.5 days, with I recurrence. The average duration of Onset of fistula was relatively earlier in cases that required primary closure (II days) compared to those cases where P. M. M. C flap was used for reconstruction (12.5 days). All complications were Wound related and managed conservatively.

Intramuscular lipomatosis of tongue.

A rare case of intramuscular lipomatosis of the tongue with intramuscular invasion in a 42 year old man is presented. The literature is reviewed and the clinical features, pathology, and treatment are discussed briefly.

Nasolabial flaps in oral reconstruction: an analysis of 224 cases.

The nasolabial flap is a simple option for the reconstruction of selected oral defects. Though its use in floor-of-mouth reconstruction has been described, other uses in the oral cavity have not been studied extensively. We present a series of 224 oral malignancies where the nasolabial flap was used for reconstruction after surgical excision.