Health Condition 1: C148- Malignant neoplasm of overlappingsites of lip, oral cavity and pharynx
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1)Patients of 18 years and above with histologically proven oral cancer 2)Patients who underwent PMMC flap reconstruction after tumor excision 3)Studies where ICG fluorescence angiography was used for both, intraoperative and postoperative perfusion evaluation.
Exclusion criteria
Exclusion criteria: 1) History of hypersensitivity or allergic reaction to indocyanine green dye or iodine-based contrast agents. 2) Prior irradiation or surgery in the head and neck region that could compromise vascular anatomy or flap viability. 3) Presence of gross tumor invasion into bones, making PMMC flap reconstruction unsuitable. 4)Patients who have no records or those who have defaulted their follow-up appointments
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1)To evaluate and report the percentage of interventions in PMMC flap reconstructions in which intraoperative ICG fluorescence angiography leads to flap revision, adjustment, or modification to improve vascularity and reduce postoperative complications.Timepoint: 1month | — |
Secondary
| Measure | Time frame |
|---|---|
| 1)To quantify and report the percentage of the PMMC flap surface area identified as under-perfused by intraoperative ICG angiography, and to analyze the correlation between fluorescence intensity scores and tissue outcomes within these regions 2)To evaluate and compare the incidence and spectrum of perioperative complications including wound infection, partial and total flap necrosis, fistula formation, dehiscence, hematoma, and prolonged hospitalization between patients undergoing PMMC flap reconstruction with intraoperative ICG assessment. Timepoint: 1month | — |
Countries
India
Contacts
Kasturba Medical College, Manipal