Reconstructive techniques in head and neck malignancies

Shashidhar K., Venkatesh Doreyawar, Nabeel Malick, Sandhya N. S., Preetham H. N., Shruthi Puthukulangara, Vidyashree K. M.


Background: Head and neck malignancies are of common occurrence in India requiring early diagnosis for effective reconstruction by various surgical techniques. The aim of the present study was to evaluate the pattern of involvement of head and neck malignancies and to evaluate various surgical resection and reconstruction techniques used in the management of head and neck malignancies.

Methods: This is a retrospective study carried out in the Department of ENT and Head & Neck Surgery And Surgical Oncology, Karnataka Institute Of Medical Sciences, Hubballi, from July 2015 to December 2016. All patients who underwent surgery for head and neck malignancy were included in our study.  

Results: Retrospective analysis of our study yielded 36 cases of which 29 patients were male and 7 were female. In our study commonest age group was 6th and 7th decade constituting 55.55%. The most common site involved was oral cavity constituting about 63.88%. The most common sub-site in oral cavity malignancy was found to be anterior 2/3rdof tongue (25%), followed by lip and buccal mucosa each of which constituted 13.88%.

Conclusions: In our study oral cavity was the most common site to be involved in head and neck malignancies, of which anterior 2/3rd of tongue is the most common sub-site. Majority of the patients underwent tumour resection with flap reconstruction. Locoregional flaps form an efficient alternative in cases where primary closure is not possible without compromising the aesthetic outcomes.


Head and neck malignancy, Squamous cell carcinoma, Pectoralis major myocutaneous flap, Nasolabial flap, Larygectomy

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Das A, Medhi SK, Das AK, Rahman T. Utility of loco regional flap in head and neck reconstruction. IOSR. 2016; 15(6):16-22.

Shah JO, Medina JE, Shaha AR, Schantz SP, Martin JR. Cervical lymph node metastasis. Curr Problems in Surg. 1993;30(3):284-335.

Amin AA, Sakkary MA, Khalil AA, Rifaat MA, Zayed SB. The submental flap for oral cavity reconstruction: Extended indications and technical refinements. Head and Neck Oncol. 2011;3:51.

Lekwale H, Zingade A. Nasolabial flap reconstruction in Oral cavity cancer defects. Indian J Applied Res. 2016;6(2):535-7.

Iype EM, Pandey M, Mathew A, Thomas G, Sebastian P, Nair MK. Squamous Cell Carcinoma of The Tongue Among Young Indian Adults. Neoplasia. 2001;3(4):273-7.

Talabani NG, Ahmed KM, Faraj FH, Oral Cancer in Sulaimani: Clinicopathological Study. J Zankoy Sulaimani. 2010;13(1):14

Ioannides C, Fossion E. Nasolabial Flap for The Reconstruction of defects of the Floor of the Mouth. Int J Oral Maxillofac Surg. 1991;20(1):40-3.

Sagayaraj A, Deo RP, Mohiyuddin SMA , Modayil GO. Indian J Otolaryngol Head Neck Surg. 2012;64(3):270-4.

Chitlangia P, Kumuran E, Sabitha KS. Use of nasolabial flap in intra and extra oral reconstruction: Our experience with 40 cases. J Maxillofac Oral Surg. 2012;11(4):451-4

Wallace AF. Esser’s skin flap for closing large palatal fistulae. Br J Plast Surg. 1966;19:322-6

Rose EH. One staged arterialized nasolabial island flap for floor of mouth renconruction. Ann Plast Surg. 1981;6:71-5.