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  1. Article: Lingual Artery as the Recipient Vessel of Choice in Patients Requiring a Second or Third Free Flap in Recurrent Oral Cancers and Vessel-Depleted Neck: A 5-Year Experience in a Single Institute.

    Dhondge, Rajendra / Hussain, Mohsina / Singh, Archana / Nagarkar, Raj

    Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India

    2023  Volume 56, Issue 6, Page(s) 494–498

    Abstract: ... ...

    Abstract Introduction
    Language English
    Publishing date 2023-11-24
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2118680-7
    ISSN 1998-376X ; 0970-0358
    ISSN (online) 1998-376X
    ISSN 0970-0358
    DOI 10.1055/s-0043-1776899
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Reconstructive Options for Basal Cell Carcinoma Defects in the Head and Neck Region: An Institutional Experience.

    Dhondge, Rajendra / Hussain, Mohsina / Nagarkar, Raj / Kulkarni, Sneha / Roy, Sirshendu

    Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India

    2023  Volume 76, Issue 1, Page(s) 329–335

    Abstract: Basal cell carcinoma (BCC) is the most common skin cancer with more than 80% occurring on the face occurring mainly due to exposure to ultraviolet rays in the elderly due to cumulative exposure of the UV rays during their lifetime. Though various ... ...

    Abstract Basal cell carcinoma (BCC) is the most common skin cancer with more than 80% occurring on the face occurring mainly due to exposure to ultraviolet rays in the elderly due to cumulative exposure of the UV rays during their lifetime. Though various treatment modalities are available for the treatment of basal cell carcinomas, wide local excision is the standard line of management. However, reconstruction of facial BCC poses a challenge to the reconstructive surgeon. Over a 4-year-old period from 2017 to 2021, a total of 30 patients of head and neck basal cell carcinoma were surgically excised in our institution. We have explored all modes of reconstruction from small to large BCC defects in terms of cosmesis, form and function. Four patients underwent primary closure, 8 patients underwent skin grafting, 13 patients underwent closure by local and advancement flaps and 5 patients with large defects underwent free flap reconstruction. No flap loss was reported. None reported any functional deficit. To achieve adequate aesthetic surgical outcomes after reconstruction, knowledge of facial aesthetic regions is of utmost importance. The size and location of the defect and the presence of vital structures adjacent to the defect should be assessed to determine the kind of reconstruction that should be carried out without adversely affecting adjacent structures. For greater patient satisfaction, the method of reconstruction should be tailor made, where donor tissue resembles native tissue with good contour and texture match, suture line scars are camouflaged, and complications are nil.
    Language English
    Publishing date 2023-08-30
    Publishing country India
    Document type Journal Article
    ZDB-ID 1471137-0
    ISSN 0973-7707 ; 2231-3796 ; 0019-5421
    ISSN (online) 0973-7707
    ISSN 2231-3796 ; 0019-5421
    DOI 10.1007/s12070-023-04158-6
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Lingual Artery as the Recipient Vessel of Choice in Patients Requiring a Second or Third Free Flap in Recurrent Oral Cancers and Vessel-Depleted Neck: A 5-Year Experience in a Single Institute

    Dhondge, Rajendra / Hussain, Mohsina / Singh, Archana / Nagarkar, Raj

    Indian Journal of Plastic Surgery

    2023  Volume 56, Issue 06, Page(s) 494–498

    Abstract: Introduction: Reconstruction with free flaps becomes a challenge in recurrent cases having previously treated necks, in patients who have received prior radiation therapy or chemotherapy or both, and where the patient has already undergone free flap ... ...

    Abstract Introduction: Reconstruction with free flaps becomes a challenge in recurrent cases having previously treated necks, in patients who have received prior radiation therapy or chemotherapy or both, and where the patient has already undergone free flap reconstruction in a prior surgery. Depleted cervical recipient vessels can increase the complexity of reconstruction in achieving successful free flap prefusion and thereby increasing flap thrombosis and eventually failure.
    Materials and Methods: Over a period of 5 years from January 2018 to February 2023, we encountered a total of 22 cases of recurrent or second primary oral cancer with bilateral necks operated, postadjuvant chemo-radiotherapy, and requiring a second or third free flap reconstruction. In most of the cases we resorted to the lingual artery as the recipient artery of choice.
    Results: No flap loss was reported. No cases were reexplored either for hematoma or for congestion. All patients recovered uneventfully.
    Conclusion: To the best of our knowledge, there has been no paper yet that focuses on the lingual artery to be the recipient vessel of choice in recurrent oral cancers. We find the lingual artery to be a reliable and safe option and advocate its usage as recipient vessel of choice in recurrent oral cancers requiring more than one free flap reconstruction.
    Keywords lingual artery ; recipient vessels ; free flap ; recurrent oral cancer ; vessel depleted neck
    Language English
    Publishing date 2023-11-24
    Publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
    Publishing place Stuttgart ; New York
    Document type Article
    ZDB-ID 2118680-7
    ISSN 1998-376X ; 0970-0358
    ISSN (online) 1998-376X
    ISSN 0970-0358
    DOI 10.1055/s-0043-1776899
    Database Thieme publisher's database

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  4. Article: Exploring the Aggressiveness of Sarcomatoid Carcinoma of the Oral Cavity - an Institutional Experience.

    Hussain, Mohsina / Gandhe, Sucheta / Menak, Dhruti / Pawar, Yogesh / Dhondge, Rajendra / Shaikh, Ahmer Arif / Roy, Sirshendu / Nagarkar, Raj

    Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India

    2023  Volume 75, Issue 3, Page(s) 2077–2083

    Abstract: Background: ...

    Abstract Background:
    Language English
    Publishing date 2023-04-26
    Publishing country India
    Document type Journal Article
    ZDB-ID 1471137-0
    ISSN 0973-7707 ; 2231-3796 ; 0019-5421
    ISSN (online) 0973-7707
    ISSN 2231-3796 ; 0019-5421
    DOI 10.1007/s12070-023-03823-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Outcome Analysis of Advanced Oral Cancers Requiring Large Composite Fibular Osteocutaneous Flap Reconstruction: Experience From a Tertiary Care Cancer Hospital.

    Joshi, Tanmay / Mantri, Mayur / Hadgaonkar, Sumit / Rao, Neeraj / Dhondge, Rajendra / Jaiswal, Dushyant / Mathews, Saumya / Qayyumi, Burhanuddin / Chaturvedi, Pankaj / Shankhdhar, Vinay Kant

    Annals of plastic surgery

    2022  Volume 88, Issue 6, Page(s) 635–640

    Abstract: Background: Advanced oral cancer entailing extensive resection of large parts of the mucosa, bone, and skin require reconstructions with composite free flaps. Our aim was to analyze the outcomes of those oral squamous cell carcinomas requiring fibular ... ...

    Abstract Background: Advanced oral cancer entailing extensive resection of large parts of the mucosa, bone, and skin require reconstructions with composite free flaps. Our aim was to analyze the outcomes of those oral squamous cell carcinomas requiring fibular osteocutaneous free flaps with large skin defects.
    Methods: Perioperative course and histopathological and survival outcomes of 246 consecutive patients warranting composite fibular flaps from January 2010 to June 2015 at Tata Memorial Hospital, Mumbai, India, were retrospectively analyzed.
    Results: Despite majority of T4 disease (88.2%) and stage IV disease (92%) patients, the 5-year overall survival was 52.1% and the 5-year recurrence-free survival was 48.6% with a median follow-up of 42 months with minimal complications.
    Conclusions: Reconstruction with composite fibular osteocutaneous flaps has comparable outcomes of survival with acceptable complications in mega oral squamous cell carcinomas requiring extensive resection.
    MeSH term(s) Cancer Care Facilities ; Carcinoma, Squamous Cell/pathology ; Carcinoma, Squamous Cell/surgery ; Fibula/surgery ; Free Tissue Flaps/pathology ; Head and Neck Neoplasms/surgery ; Humans ; Mandible/surgery ; Mouth Neoplasms/pathology ; Mouth Neoplasms/surgery ; Reconstructive Surgical Procedures ; Retrospective Studies ; Squamous Cell Carcinoma of Head and Neck/pathology ; Squamous Cell Carcinoma of Head and Neck/surgery ; Tertiary Healthcare
    Language English
    Publishing date 2022-04-23
    Publishing country United States
    Document type Journal Article
    ZDB-ID 423835-7
    ISSN 1536-3708 ; 0148-7043
    ISSN (online) 1536-3708
    ISSN 0148-7043
    DOI 10.1097/SAP.0000000000003217
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Complex nasal and periorbital reconstruction using locoregional flaps: a case report.

    Panse, Nikhil / Sahasrabudhe, Parag / Dhondge, Rajendra

    World journal of plastic surgery

    2014  Volume 1, Issue 2, Page(s) 116–120

    Abstract: Facial reconstruction is one of the most challenging problems faced by a reconstructive surgeon. We present a case of complex facial reconstruction with a composite trauma to the nose resulting in near total loss of skin and lining along with complete ... ...

    Abstract Facial reconstruction is one of the most challenging problems faced by a reconstructive surgeon. We present a case of complex facial reconstruction with a composite trauma to the nose resulting in near total loss of skin and lining along with complete loss of left eyebrow with exposed frontal bone and partial loss of the left eyelid. We combined a temporoparietal fascial flap for reconstruction of the eyebrows and covering the exposed frontal bone and prefabricated forehead flap with skin graft for nasal reconstruction. Proper planning and staging of the surgical procedures and use of local flaps gave us good aesthetic and functional outcome with a satisfied patient.
    Language English
    Publishing date 2014-12-16
    Publishing country Iran
    Document type Case Reports
    ZDB-ID 2781494-4
    ISSN 2252-0724 ; 2228-7914
    ISSN (online) 2252-0724
    ISSN 2228-7914
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Elective Surgical Experience During COVID Pandemic at a Tertiary Cancer Care Centre in India: A Retrospective Analysis.

    Nagarkar, Raj / Roy, Sirshendu / Dhondge, Rajendra / Adhav, Aditya / Manke, Aditya / Banswal, Lalit / Upwanshi, Manish / Kulkarni, Nayana / Tandale, Ravindra / Bang, Yogesh / Pasumarthi, Lalitha Shankar / Subramaniam, Anuraag / Rajpari, Kamil N / Yajurvedi, Pranay / Ansari, Shoeb / Wankhede, Bhushan / Ramesh, Yasam Venkata

    Indian journal of surgical oncology

    2021  Volume 12, Issue Suppl 2, Page(s) 257–264

    Abstract: To analyse and identify possible outcomes of elective cancer surgeries performed at a tertiary cancer centre during COVID19 pandemic. This is a retrospective study including patients that underwent surgery at HCG Manavata cancer centre, Nashik, ... ...

    Abstract To analyse and identify possible outcomes of elective cancer surgeries performed at a tertiary cancer centre during COVID19 pandemic. This is a retrospective study including patients that underwent surgery at HCG Manavata cancer centre, Nashik, Maharashtra, India, from 15 March 2020 to 15 June 2020. Among the 458 patients that underwent elective surgeries, 54% were male and 46% were female, with a median age of 50.57 years. The most common sites of cancer distribution were head and neck (24.67%), colorectal (11.57%), gynaecological (11.35%), and breast (10.26%). Of the included patients, 92% were of American Society of Anaesthesiologists (ASA) II with comorbidities such as hypertension, and 64% underwent major surgeries with a mortality rate of 1.52% (
    Language English
    Publishing date 2021-08-16
    Publishing country India
    Document type Journal Article
    ZDB-ID 2568289-1
    ISSN 0976-6952 ; 0975-7651
    ISSN (online) 0976-6952
    ISSN 0975-7651
    DOI 10.1007/s13193-021-01403-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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