Microvascular Free Flaps Reconstruction of Composite Resection Defects

Introduction Buccal mucosa is a major sub site for oral squamous cell carcinoma (SCC) in the Indian subcontinent. The gold standard management of Buccal cancer is Composite resection which creates sometimes large defects. Reconstructive options for Composite resection defects are regional flaps to loco regional flaps to micro vascular free flaps. Currently, micro vascular free tissue transfer is considered as ideal choice for oral cavity reconstruction. This prospective study describes the outcome of Microvascular free flaps reconstruction of Composite resection defects. Materials and Methods The current prospective study was conducted in the Department of Surgical Oncology at tertiary health care centre. Staging work up done with CECT Scan, X ray chest. Procedure was performed are Composite resection as per standard protocol. Outcome of the surgery with complications, cosmetic and functional outcomes were noted. Results Total number of Buccal cancer included in our study is 140 and all patients underwent reconstruction by Pedicled (80) or Microvascular flaps (60). In our study, Majority 27 patients (45.0 %) underwent radial free forearm flap followed by ALT flap. Cosmetic outcome and Functional outcome are better with all Microvascular flap. Conclusion Reconstruction of Composite resection defects are challenging due to their complex three dimensional natures. For large complex defects, Micro vascular free flap provides better Cosmetic and Functional outcome.