Publications by authors named "Naina Agarwal"

Although microvascular free flaps are considered the first choice in head and neck cancer defect reconstruction, their use is limited in developing regions by availability of resources and the expertise .The Bipaddle pectoralis major myocutaneous flap (PMMC flap) is a commonly used flap in head and neck cancer reconstruction, but in literature flap is associated with high incidence of drawbacks including donor site morbidity and added bulk of the flap reducing cosmetics and function. The purpose of the study is to evaluate the Bipaddle PMMC flap reliability, operative technique and outcome in reconstructive head and neck cancer surgery in the era of microvascular free flaps.

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Article Synopsis
  • The study investigates the outcomes of using the pectoralis major myo-cutaneous (PMMC) flap for reconstructing oral cavity defects, focusing on the impact of preserving versus sacrificing the lateral thoracic artery (LTA).
  • Data from 61 male patients who underwent this procedure revealed a high overall complication rate of 44.26%, with flap detachment being the most common issue.
  • Preserving the LTA was linked to reduced flap detachment rates, suggesting that maintaining this artery may enhance the vascularity of the flap and minimize complications, although it did not significantly affect other complication rates.
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Article Synopsis
  • The study examines the use of the Facial Artery Musculo-Mucosal (FAMM) flap for reconstructing defects in the tongue and floor of the mouth after cancer surgery, highlighting its potential as a versatile option in head and neck surgery.* -
  • A retrospective analysis of 15 patients showed that while complications occurred, such as flap necrosis and fistulas, the FAMM flap generally resulted in positive functional outcomes, particularly for floor of mouth reconstructions.* -
  • Overall, the FAMM flap is presented as a reliable, easy-to-harvest option that provides good cosmetic and functional results, making it suitable for small to medium oral cavity defects.*
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Background: Oral cavity cancers, the second most common type in India, are responsible for 10% of the overall cancer burden. With a recurrence rate of 30% to 40% and a 5-year survival rate of 50%, these malignancies account for substantial morbidity and mortality. Despite advances in treatment modalities, survival rates following treatment completion have not improved significantly.

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Corpus alienum or foreign body on hard palate is a rare presentation and often associated with a scare secondary to misdiagnosis. The potential dangers of respiratory obstruction, mucosal tear, nasopharyngeal inflammation and gastro-intestinal bleeding make these non-invasive foreign bodies, life threatening. A case report of a three year old girl with a 2.

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