DOI: 10.36347/sjams.2019.v07i02.010

Pages: 464-470

Background: Buccal carcinoma are one of the commonest site of oral cancers whose primary treatment is surgical excision, it results in functional and aesthetic loss to patient. Microvascular reconstruction has revolutionsed the reconstructive part of surgical management of head and neck cancer, but old modalities of reconstruction like locoregional flaps and grafts are still good option for oral defects. Method: 45 patients of buccal carcinoma were operated in our department during period of 5 yrs. Reconstructive option which were used includes nasolabial flap in 16 cases, pectoralis major myocutaneous flap in 6 cases, split thickness skin graft in 6 cases, buccal pad of fat in 3 cases, forehead flap in 2 cases, full thickness skin graft in 1 case, combined pectoralis major myocutaneous flap & deltopectoral flap in 1 case & primary closure in 10 cases. Results: We evaluated outcome of flaps used in reconstruction of buccal defects using functional & cosmetic scoring & complications. Conclusion: Microvascular surgery has revolutionized the reconstruction after ablative head and neck cancer surgeries, but locoregional flaps & grafts knowledge makes head and neck surgeon capable of delivering good patient service in setup with minimal resources and expertise.