BACKGROUND Surgical resection is the main stay treatment in oral cancer. Different techniques were used by the surgeons for reconstruction of the normal anatomy. With these, a study was conducted to evaluate the outcome and quality of life in terms of conventional forms of reconstruction and functional outcome in both genders for oral cavity reconstruction. METHODS It was a hospital based non randomized study, conducted in the department of surgical oncology, Vydehi Institute of Medical Sciences and research centre, Bangalore from January 2017 to June 2018. Individuals aged 20 – 70 years with confirmed oral carcinoma were included; poor vascular supply of donor area, distant metastasis proved by chest X ray or abdominal ultrasound were excluded. Pre-structured proforma was used to collect the baseline data. ANOVA tests were used. P <0.05 was considered statistically significant. RESULTS Majority (27.7 %) were in the age group 51 to 60 years and the male to female ratio was 0.56. Statistically, there was no significant association between gender and type of flaps. 60 % had carcinoma of left buccal mucosa and 40 % had right side carcinoma, statistically there was no significant difference. The mean number of nodes was 20.85 ± 9.52. Statistically, there was no significant association between type of flaps and number of lymph nodes. CONCLUSIONS PMMC flap reconstruction is reliable and an affordable procedure with high success rate in achieving treatment goals. However, studies on large sample size for long term is required. KEYWORDS Oral Carcinoma, Microvascular Techniques, Local Flaps, Regional Flaps
BACKGROUND More thyroid malignancy cases occur in women. FNAC (Fine Needle Aspiration Cytology) and histopathology play a key role in resolving this diagnostic challenge. A study was conducted to correlate the age, gender parameters with the clinical findings in thyroid malignancies by considering the histopathological examination (HPE) as the gold standard. METHODS It was a prospective study conducted in the department of Surgical Oncology, GSL Medical College, Rajahmundry, Malignant thyroid neoplasm individuals of any age, either gender who were fit thyroidectomy were included in the study. FNAC of the thyroid gland and lymph nodes was done. Data was analyzed using SPSS 21.0. Chi square test was used to find the statistical significance. P > 0.05 was considered to be statistically significant. RESULTS In this study, 52 HPE proven cases were studied, female male ratio was 5.5. Majority (28.8 %) of the study subjects were belong to 21 – 30 years. Majority (36.5 %) of the study volunteers had swelling for < 3 months and right side swelling was common. Papillary thyroid carcinoma (PCT) was common. CONCLUSIONS Thyroid carcinoma was common among females and PCT was common. FNAC contributed significantly to the preoperative investigation in thyroid swelling patients but despite its well-recognized value there are limitations to the technique. KEYWORDS Thyroid, Swelling, Carcinoma, Age
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