[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-337936-105":59,"doc-detail-337936-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","bridging-tradition-and-modernity-embracing-the-bipaddled-pectoralis-major-myocutaneous-flap-for-challenging-oral-cavity-defects-in-the-free-flap-era-case-report","Bridging Tradition and Modernity: Embracing the Bipaddled Pectoralis Major Myocutaneous Flap for Challenging Oral Cavity Defects in the Free Flap Era - case report","","Oral squamous cell carcinoma poses a serious global health burden, with outcomes worsening as severity increases. Early diagnosis improves overall survival and quality of life, while surgery remains central to complete tumor excision and cervical nodal metastasis management. Large postresection defects often require bulky flap reconstruction. This report describes a composite defect after excision of an oral cancer lesion reconstructed using a bipaddled pectoralis major myocutaneous flap in the free flap era, emphasizing tailored flap design to reduce donor-site morbidity and optimize skin paddle coverage.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/bridging-tradition-and-modernity-embracing-the-bipaddled-pectoralis-major-myocutaneous-flap-for-challenging-oral-cavity-defects-in-the-free-flap-era-case-report/337936/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/bridging-tradition-and-modernity-embracing-the-bipaddled-pectoralis-major-myocutaneous-flap-for-challenging-oral-cavity-defects-in-the-free-flap-era-case-report/337936.png","ImageObject",300,407,{"name":92,"@type":93},"Aria","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-28","2026-09-21",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why is early diagnosis important in oral squamous cell carcinoma?","Question",{"text":112,"@type":113},"Early diagnosis improves patients' overall survival and quality of life by enabling timely management of a disease whose prognosis declines with increasing severity.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What is the main surgical goal in treating oral carcinoma described in the report?",{"text":117,"@type":113},"The primary objective is complete removal of the cancerous lesion along with management of cervical nodal metastasis.",{"name":119,"@type":110,"acceptedAnswer":120},"How was the large postresection defect reconstructed in this case?",{"text":121,"@type":113},"A bipaddled pectoralis major myocutaneous flap was used to reconstruct the composite defect after resection.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},337936,1790095202,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145},2336464648322,"https://ap-avatar.wpscdn.com/avatar/2200025388227c56fec?_k=1778556882303663488","Open Access Case  \nReport DOI: 10.7759/cureus.62341  \nReceived 05/19/2024  \nReview began 06/02/2024  \nReview ended 06/12/2024  \nPublished 06/13/2024  \n© Copyright 2024  \nGattani et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0. , which permits unrestricted use , distribution , and reproduction in any medium , provided the original author and source are credited.  \nBridging Tradition and Modernity: Embracing the Bipaddled Pectoralis Major Myocutaneous Flap for Challenging Oral Cavity Defects in the Free Flap Era  \nVaishnavi Gattani 1, Shreya Pawar 1, Chetan Gupta 1, Nitin Bhola 1 , Parmarth Sonpal 1, Palak Agrawal 1 1. Oral and Maxillofacial Surgery, Sharad Pawar Dental College and Hospital, Wardha, IND  \nCorresponding author: Vaishnavi Gattani, [drvaishnavigattani15@gmail.com](drvaishnavigattani15@gmail.com)  \nAbstract  \nOral squamous cell carcinoma is a serious global issue, with the prognosis decreasing as the disease severity increases. The implications of this condition are so disastrous that they cause a lot of suffering for the individual. Early diagnosis has proven to improve patients ' overall survival and quality of life. Surgery remains the mainstay in treating oral carcinoma. It is aimed at the complete removal of the cancerous lesion along with the management of cervical nodal metastasis. Larger defects call for reconstruction with bulky flaps. In our case, we had a composite defect postresection of the cancerous lesion, which was reconstructed using a bipaddled pectoralis major myocutaneous flap.  \nCategories: Dentistry, Radiation Oncology, Oncology  \nKeywords: metastasis, mandibulectomy, oral cancer, myocutaneous, carcinoma  \nIntroduction  \nOne of the most serious global health challenges today is cancer, which includes a wide range of disorders marked by abnormal cell growth that has the capacity to invade various other body parts. There is a wide range of symptoms, and treatment outcomes are influenced by the complex interplay of genetic,  \nenvironmental, and lifestyle factors. Within the realm of oncology, carcinoma reigns as one of the most prevalent forms of cancer, encompassing a diverse array of malignancies arising from epithelial tissues. Oral cancer is the sixth most common cancer globally in terms of incidence. Oral cancer emerges as a particularly pervasive threat to public health, exerting a profound impact on individuals and communities worldwide [1] .  \nSquamous cell carcinoma (SCC) accounts for over 90% of all oral cancer cases [2,3] . In head and neck oncology, carcinoma of the lower gingivobuccal sulcus poses a significant problem due to its aggressive nature and frequently delayed diagnosis [4] . Carcinoma originating from the lower gingivobuccal sulcus is a unique subtype that makes up a sizable fraction of cases in areas where betel nut and tobacco use is prevalent, especially in South Asia, which includes Bangladesh, Sri Lanka, and India [5] . For instance, with an estimated yearly incidence of 30-40 cases per 100,000 populations, carcinoma of the lower gingivobuccal sulcus is a major health issue in India [6] . Originating at the interface between the buccal and alveolar mucosa, this variation of oral squamous cell carcinoma (OSCC) presents distinct challenges for diagnosis and treatment. The prevalence of late presentation persists most commonly in areas where there is a lack of awareness and facilities of advances in imaging technologies and treatment modalities, which is associated with poor prognosis and few therapeutic options.  \nIn this report, we describe a case of cancer arising from the lower gingivobuccal sulcus, explaining the clinical manifestation, diagnostic implications, treatment options, and prognosis of the patient. There are many treatment modalities according to the site and size of the lesion; it requires a multimodal approach involving a team comprising surgeons, radiation oncologists, and maxillofa","cbCaisqSm6udbEQS","https://ap.wps.com/l/cbCaisqSm6udbEQS","pdf",2032972,14,"English","# Abstract\n# Introduction\n# Case Presentation","[{\"question\":\"Why is early diagnosis important in oral squamous cell carcinoma?\",\"answer\":\"Early diagnosis improves patients' overall survival and quality of life by enabling timely management of a disease whose prognosis declines with increasing severity.\"},{\"question\":\"What is the main surgical goal in treating oral carcinoma described in the report?\",\"answer\":\"The primary objective is complete removal of the cancerous lesion along with management of cervical nodal metastasis.\"},{\"question\":\"How was the large postresection defect reconstructed in this case?\",\"answer\":\"A bipaddled pectoralis major myocutaneous flap was used to reconstruct the composite defect after resection.\"}]","Bridging Tradition and Modernity: Embracing the Bipaddled Pectoralis Major Myocutaneous Flap for Challenging Oral Cavity Defects in the Free Flap Era - case report | PDF",1790021248,35]