Background:Oral cavity cancers are fairly common and have propensity to recur locally. Since Pectoralis Major Myocutaneous (PMMC) flap is the most widely used first flap for reconstruction, it is exhausted at the earliest and recurrence poses a formidable challenge for reconstructive surgeon. Present study evaluated the feasibility of contralateral Pectoralis Major Myocutaneous Flap for reconstruction after resection of recurrent tumour.Methods:This was a study of the patients presenting with recurrent oral cavity cancer after exhausted ipsilateral Pectoralis Major Myocutaneous Flap (PMMC) in whom we used contralateral Pectoralis Major Myocutaneous Flap (Crossed PMMC Flap) for reconstruction between October 2013 to June 2016.Results:Five patients with recurrence underwent reconstruction with contralateral Pectoralis Major Myocutaneous Flap. In all the flap was successfully used to reconstruct defects involving the entire buccal mucosa and in one patient the flap could be used to reconstruct full thickness resection defect(crossed bipedal PMMC Flap) with ease.Conclusion:Crossed Pectoralis Major Myocutaneous Flap can be used safely and reliably for reconstruction of the buccal mucosal defect and in selected patients even for full thickness cheek defect as folded bipaddle Pectoralis Major Myocutaneous Flap.

Aims and Objective:(1) To study the age and sex distribution of patient with oral malignancies. (2) To analyze various types of surgery performed. (3) Evaluation of reconstruction and factors affecting complications and its relation to the type of reconstruction.Materials and Methods:Cases of oral malignancies, undergoing surgery for the same in Sri Aurobindo Medical College and PG Institute, Indore from the period from October 1, 2012, to March 31, 2015.Results:Out of analysis of 111 cases of oral malignancy, 31 (27.9%) cases were in the fifth decade of life with male to female ratio 1.9:1. The commonest site of cancer was buccal mucosa. Forty-seven cases (43.2%) were in stage IVa. Diabetes was the most common co-morbidity reported, accounting for 53.9% of cases with reported morbidity. Tobacco chewing was the common entity in personal habits. All the cases underwent neck dissection along with resection of the primary. Hemimandibulectomy was the most preferred form of primary resection accounting for 53.15% (59 cases), followed by wide resection of primary 27% (30 cases). Pectoralis major myocutaneous (PMMC) flap only was the most common reconstruction across the study population. PMMC alone accounted for 38.7% (43 cases). The infection rate was 16.21%. PMMC alone accounted for 5 out of 18 (27.8%) of total infection rate, and 4.5% of the total study population. PMMC + deltopectoral accounted for 5 out of 18 (27.8%) of total infection rate, and 4.5% of the total study population.Conclusion:PMMC is a major workhorse for reconstruction with better functional outcome and acceptance among operated patients.

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Objective: Psycho-oncology refers to psychological, social, behavioral issues relatedto cancer prevention, treatment and survivorship. The prevalence of cancer in India is around 2.25 million with 1.1 million new cases per year. This  research analyzed  psychosocial  factors  affecting  the  victims  of  cancer  in  India  &  identified  various  dynamics  playing role in  management. Method: A prospective, cross-sectional study was performed over one year period. A psychosocial questionnaire was designed for collecting information. Based on this questionnaire, responses were recorded, reflecting patient’s feelings and experiences. This study was conducted at tertiary care centre RDGMC, Ujjain, India. The study group included 120 admitted patients. Results: Out of120 patients (54%) were males and (46%) were females. The sample included (50%) patients newly diagnosed with cancer &Head &Neck cancer was the commonest cancer, affecting (37%) patients. (41%) patients were compliant, (31%) patients were partially compliant, (28%) patients were non compliant to the treatment. (63%) patients continued treatment. (28%) patients abandoned the treatment& (9%) patients got deceased. Financial constraint was the commonest reason for abandonment accounting for 65 % of the patients. It was observed that (74%) patients experienced psychosocial stigma.