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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">5th Rib Osteo-pectoralis Major Myocutaneous Flap—Still a Viable Option for Mandibular Defect Reconstruction</title><author><name sortKey="Shunyu, N Brian" sort="Shunyu, N Brian" uniqKey="Shunyu N" first="N. Brian" last="Shunyu">N. Brian Shunyu</name><affiliation><nlm:aff id="Aff1">Departments of Otorhinolaryngology & Head-Neck Surgery, North Eastern Indira Gandhi Regional Institute of Health and Medical Science (NEIGRIHMS), Shillong, 793018 Meghalaya India</nlm:aff></affiliation></author><author><name sortKey="Medhi, Jayanta" sort="Medhi, Jayanta" uniqKey="Medhi J" first="Jayanta" last="Medhi">Jayanta Medhi</name><affiliation><nlm:aff id="Aff1">Departments of Otorhinolaryngology & Head-Neck Surgery, North Eastern Indira Gandhi Regional Institute of Health and Medical Science (NEIGRIHMS), Shillong, 793018 Meghalaya India</nlm:aff></affiliation></author><author><name sortKey="Laskar, Hanifa Akhtar" sort="Laskar, Hanifa Akhtar" uniqKey="Laskar H" first="Hanifa Akhtar" last="Laskar">Hanifa Akhtar Laskar</name><affiliation><nlm:aff id="Aff1">Departments of Otorhinolaryngology & Head-Neck Surgery, North Eastern Indira Gandhi Regional Institute of Health and Medical Science (NEIGRIHMS), Shillong, 793018 Meghalaya India</nlm:aff></affiliation></author><author><name sortKey="Lyngdoh, Nari" sort="Lyngdoh, Nari" uniqKey="Lyngdoh N" first="Nari" last="Lyngdoh">Nari Lyngdoh</name><affiliation><nlm:aff id="Aff2">Department of Anaesthesiology, NEIGRIHMS, Shillong, India</nlm:aff></affiliation></author><author><name sortKey="Syiemlieh, Judita" sort="Syiemlieh, Judita" uniqKey="Syiemlieh J" first="Judita" last="Syiemlieh">Judita Syiemlieh</name><affiliation><nlm:aff id="Aff3">Department of Radiotherapy, Civil Hospital, Shillong, India</nlm:aff></affiliation></author><author><name sortKey="Goyal, Amit" sort="Goyal, Amit" uniqKey="Goyal A" first="Amit" last="Goyal">Amit Goyal</name><affiliation><nlm:aff id="Aff4">Department of ENT, AIIMS, Jodhpur, India</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26396954</idno><idno type="pmc">4571475</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4571475</idno><idno type="RBID">PMC:4571475</idno><idno type="doi">10.1007/s12070-014-0732-4</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">000A07</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000A07</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">5th Rib Osteo-pectoralis Major Myocutaneous Flap—Still a Viable Option for Mandibular Defect Reconstruction</title><author><name sortKey="Shunyu, N Brian" sort="Shunyu, N Brian" uniqKey="Shunyu N" first="N. Brian" last="Shunyu">N. Brian Shunyu</name><affiliation><nlm:aff id="Aff1">Departments of Otorhinolaryngology & Head-Neck Surgery, North Eastern Indira Gandhi Regional Institute of Health and Medical Science (NEIGRIHMS), Shillong, 793018 Meghalaya India</nlm:aff></affiliation></author><author><name sortKey="Medhi, Jayanta" sort="Medhi, Jayanta" uniqKey="Medhi J" first="Jayanta" last="Medhi">Jayanta Medhi</name><affiliation><nlm:aff id="Aff1">Departments of Otorhinolaryngology & Head-Neck Surgery, North Eastern Indira Gandhi Regional Institute of Health and Medical Science (NEIGRIHMS), Shillong, 793018 Meghalaya India</nlm:aff></affiliation></author><author><name sortKey="Laskar, Hanifa Akhtar" sort="Laskar, Hanifa Akhtar" uniqKey="Laskar H" first="Hanifa Akhtar" last="Laskar">Hanifa Akhtar Laskar</name><affiliation><nlm:aff id="Aff1">Departments of Otorhinolaryngology & Head-Neck Surgery, North Eastern Indira Gandhi Regional Institute of Health and Medical Science (NEIGRIHMS), Shillong, 793018 Meghalaya India</nlm:aff></affiliation></author><author><name sortKey="Lyngdoh, Nari" sort="Lyngdoh, Nari" uniqKey="Lyngdoh N" first="Nari" last="Lyngdoh">Nari Lyngdoh</name><affiliation><nlm:aff id="Aff2">Department of Anaesthesiology, NEIGRIHMS, Shillong, India</nlm:aff></affiliation></author><author><name sortKey="Syiemlieh, Judita" sort="Syiemlieh, Judita" uniqKey="Syiemlieh J" first="Judita" last="Syiemlieh">Judita Syiemlieh</name><affiliation><nlm:aff id="Aff3">Department of Radiotherapy, Civil Hospital, Shillong, India</nlm:aff></affiliation></author><author><name sortKey="Goyal, Amit" sort="Goyal, Amit" uniqKey="Goyal A" first="Amit" last="Goyal">Amit Goyal</name><affiliation><nlm:aff id="Aff4">Department of ENT, AIIMS, Jodhpur, India</nlm:aff></affiliation></author></analytic><series><title level="j">Indian Journal of Otolaryngology and Head & Neck Surgery</title><idno type="ISSN">2231-3796</idno><idno type="eISSN">0973-7707</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>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.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Indian J Otolaryngol Head Neck Surg</journal-id><journal-id journal-id-type="iso-abbrev">Indian J Otolaryngol Head Neck Surg</journal-id><journal-title-group><journal-title>Indian Journal of Otolaryngology and Head & Neck Surgery</journal-title></journal-title-group><issn pub-type="ppub">2231-3796</issn><issn pub-type="epub">0973-7707</issn><publisher><publisher-name>Springer India</publisher-name><publisher-loc>India</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26396954</article-id><article-id pub-id-type="pmc">4571475</article-id><article-id pub-id-type="publisher-id">732</article-id><article-id pub-id-type="doi">10.1007/s12070-014-0732-4</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject></subj-group></article-categories><title-group><article-title>5th Rib Osteo-pectoralis Major Myocutaneous Flap—Still a Viable Option for Mandibular Defect Reconstruction</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Shunyu</surname><given-names>N. Brian</given-names></name><address><email>drnbshunyu@yahoo.com</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Medhi</surname><given-names>Jayanta</given-names></name><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Laskar</surname><given-names>Hanifa Akhtar</given-names></name><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Lyngdoh</surname><given-names>Nari</given-names></name><xref ref-type="aff" rid="Aff2"></xref></contrib><contrib contrib-type="author"><name><surname>Syiemlieh</surname><given-names>Judita</given-names></name><xref ref-type="aff" rid="Aff3"></xref></contrib><contrib contrib-type="author"><name><surname>Goyal</surname><given-names>Amit</given-names></name><xref ref-type="aff" rid="Aff4"></xref></contrib><aff id="Aff1"><label></label>Departments of Otorhinolaryngology & Head-Neck Surgery, North Eastern Indira Gandhi Regional Institute of Health and Medical Science (NEIGRIHMS), Shillong, 793018 Meghalaya India</aff><aff id="Aff2"><label></label>Department of Anaesthesiology, NEIGRIHMS, Shillong, India</aff><aff id="Aff3"><label></label>Department of Radiotherapy, Civil Hospital, Shillong, India</aff><aff id="Aff4"><label></label>Department of ENT, AIIMS, Jodhpur, India</aff></contrib-group><pub-date pub-type="epub"><day>4</day><month>6</month><year>2014</year></pub-date><pub-date pub-type="ppub"><month>12</month><year>2014</year></pub-date><volume>66</volume><issue>4</issue><fpage>414</fpage><lpage>417</lpage><history><date date-type="received"><day>16</day><month>3</month><year>2014</year></date><date date-type="accepted"><day>17</day><month>5</month><year>2014</year></date></history><permissions><copyright-statement>© Association of Otolaryngologists of India 2014</copyright-statement></permissions><abstract id="Abs1"><p>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.</p></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Oral cancer</kwd><kwd>Hemi-mandibulectomy</kwd><kwd>Fifth rib osteo-pectoralis major myocutaneous flap</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© Association of Otolaryngologists of India 2014</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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