{"title":"揭开隐藏的并发症：PMMC供体部位的肋骨骨髓炎。","authors":"Pranav Mohan Singhal, Manikandan Venkatasubramaniyan, Viswamadesh Ramachandran, Arvind Krishnamurthy","doi":"10.1007/s12070-025-05553-x","DOIUrl":null,"url":null,"abstract":"<p><p>The Pectoralis Major Myocutaneous Flap (PMMC) has been an essential part of the armamentarium of surgeons reconstructing oral cavity defects after resection for malignancies. Ease of harvest, reliability and versatility coupled with minimal donor site and flap related morbidities have made the PMMC a favorite of reconstructive surgeons and surgical oncologist, especially in situations where a free flap reconstruction is either not possible or expertise and logistics don't support such a procedure. But like any other surgical procedure, the PMMC also suffers from various complications. This case report describes a rather unusual complication of Costal Osteomyelitis of the 5-8th rib of the donor site following harvest of the PMMC for reconstructing the ipsilateral buccal mucosa defect after resection for oral cavity.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 7","pages":"2670-2673"},"PeriodicalIF":0.6000,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149350/pdf/","citationCount":"0","resultStr":"{\"title\":\"Unravelling the Hidden Complication: Costal Osteomyelitis of the PMMC Donor Site.\",\"authors\":\"Pranav Mohan Singhal, Manikandan Venkatasubramaniyan, Viswamadesh Ramachandran, Arvind Krishnamurthy\",\"doi\":\"10.1007/s12070-025-05553-x\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>The Pectoralis Major Myocutaneous Flap (PMMC) has been an essential part of the armamentarium of surgeons reconstructing oral cavity defects after resection for malignancies. Ease of harvest, reliability and versatility coupled with minimal donor site and flap related morbidities have made the PMMC a favorite of reconstructive surgeons and surgical oncologist, especially in situations where a free flap reconstruction is either not possible or expertise and logistics don't support such a procedure. But like any other surgical procedure, the PMMC also suffers from various complications. This case report describes a rather unusual complication of Costal Osteomyelitis of the 5-8th rib of the donor site following harvest of the PMMC for reconstructing the ipsilateral buccal mucosa defect after resection for oral cavity.</p>\",\"PeriodicalId\":49190,\"journal\":{\"name\":\"Indian Journal of Otolaryngology and Head and Neck Surgery\",\"volume\":\"77 7\",\"pages\":\"2670-2673\"},\"PeriodicalIF\":0.6000,\"publicationDate\":\"2025-07-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149350/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Indian Journal of Otolaryngology and Head and Neck Surgery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1007/s12070-025-05553-x\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/5/21 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Otolaryngology and Head and Neck Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1007/s12070-025-05553-x","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/5/21 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
Unravelling the Hidden Complication: Costal Osteomyelitis of the PMMC Donor Site.
The Pectoralis Major Myocutaneous Flap (PMMC) has been an essential part of the armamentarium of surgeons reconstructing oral cavity defects after resection for malignancies. Ease of harvest, reliability and versatility coupled with minimal donor site and flap related morbidities have made the PMMC a favorite of reconstructive surgeons and surgical oncologist, especially in situations where a free flap reconstruction is either not possible or expertise and logistics don't support such a procedure. But like any other surgical procedure, the PMMC also suffers from various complications. This case report describes a rather unusual complication of Costal Osteomyelitis of the 5-8th rib of the donor site following harvest of the PMMC for reconstructing the ipsilateral buccal mucosa defect after resection for oral cavity.
期刊介绍：
Indian Journal of Otolaryngology and Head & Neck Surgery was founded as Indian Journal of Otolaryngology in 1949 as a scientific Journal published by the Association of Otolaryngologists of India and was later rechristened as IJOHNS to incorporate the changes and progress.
IJOHNS, undoubtedly one of the oldest Journals in India, is the official publication of the Association of Otolaryngologists of India and is about to publish it is 67th Volume in 2015. The Journal published quarterly accepts articles in general Oto-Rhino-Laryngology and various subspecialities such as Otology, Rhinology, Laryngology and Phonosurgery, Neurotology, Head and Neck Surgery etc.
The Journal acts as a window to showcase and project the clinical and research work done by Otolaryngologists community in India and around the world. It is a continued source of useful clinical information with peer review by eminent Otolaryngologists of repute in their respective fields. The Journal accepts articles pertaining to clinical reports, Clinical studies, Research articles in basic and applied Otolaryngology, short Communications, Clinical records reporting unusual presentations or lesions and new surgical techniques. The journal acts as a catalyst and mirrors the Indian Otolaryngologist’s active interests and pursuits. The Journal also invites articles from senior and experienced authors on interesting topics in Otolaryngology and allied sciences from all over the world.
The print version is distributed free to about 4000 members of Association of Otolaryngologists of India and the e-Journal shortly going to make its appearance on the Springer Board can be accessed by all the members.
Association of Otolaryngologists of India and M/s Springer India group have come together to co-publish IJOHNS from January 2007 and this bondage is going to provide an impetus to the Journal in terms of international presence and global exposure.
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