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CTRI Number  CTRI/2024/03/063489 [Registered on: 04/03/2024] Trial Registered Prospectively
Last Modified On: 01/03/2024
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Follow Up Study 
Study Design  Single Arm Study 
Public Title of Study   A Retro Prospective Analysis of PMMC Flap for Reconstruction of Head and Neck Region Defects 
Scientific Title of Study   A Retro-Prospective analysis of PMMC flap for reconstruction of Head and Neck region defects" 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Tirumal Rao Patwari 
Designation  Mch Resident 
Affiliation  Goa Medical College 
Address  Department of Plastic Surgery and Burns, Goa Medical College, Bambolim, Goa

North Goa
GOA
403202
India 
Phone  7760426414  
Fax    
Email  tiru_patwari@yahoo.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Yuri Dias Amborcar 
Designation  Professor and HOD 
Affiliation  Goa Medical College 
Address  Department of Plastic Surgery and Burns, Goa Medical College, Bambolim, Goa

North Goa
GOA
403202
India 
Phone  9890065826  
Fax    
Email  yuridias2003@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Dr Yuri Dias Amborcar 
Designation  Professor and HOD 
Affiliation  Goa Medical College 
Address  Department of Plastic Surgery and Burns, Goa Medical College, Bambolim, Goa


GOA
403202
India 
Phone  9890065826  
Fax    
Email  yuridias2003@yahoo.com  
 
Source of Monetary or Material Support  
Nil 
 
Primary Sponsor  
Name  Tirumal Rao Patwari 
Address  Department of Plastic Surgery and Burns, Goa Medical College, Bambolim, Goa 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
Nil  Nil 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Tirumal Rao Patwari  Goa Medical College  Department of Plastic Surgery and Burns, Goa Medical College, Bambolim, Goa
North Goa
GOA 
7760426414

tiru_patwari@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  1.00 Day(s)
Age To  80.00 Year(s)
Gender  Both 
Details  All patients who underwent PMMC flap reconstruction for head and neck defects from January 2018 to January 2025.

Patients who gave consent were included in the study. 
 
ExclusionCriteria 
Details  Patients with lack of medical records and follow up

Patients with recurrence 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Post op Complications -
- Infection
- Hematoma
- Immediate flap necrosis
- Fistula
- Wound dehiscence 
Post op day 1, 3, 5, 7 till patient is discharged. 
 
Secondary Outcome  
Outcome  TimePoints 
Analyse the long term outcomes in terms of functional status of recipient and donor area -
Bulging,
Feeding,
Range of neck motion,
Shoulder mobility,
Breast deformity. 
At 3, 6, 12 months 
 
Target Sample Size   Total Sample Size="43"
Sample Size from India="43" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   11/03/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  
  • Pectoralis myocutaneous flap remains the workhorse for the reconstruction of large defects in the head and neck region despite free flaps gaining popularity.
  • Even in our institution, free tissue transfers are carried out on a regular basis, but there is a definite scope and role for PMMC flap in reconstruction. 
  • We present our experience with pectoralis major myocutaneous flap in terms of postoperative complications, donor site morbidity, flap survival and long-term outcomes of the flap.

  • It is a retro- prospective analysis of 43 patients who underwent Pectoralis Myocutaneous flap reconstruction from January 2018 to January 2025 in Department of Plastic Surgery at Goa Medical College.
  • The objective of this study is to analyse the long term outcomes in terms of functional status of recipient and donor area - Bulging, Feeding, Range of neck motion, Shoulder mobility, Breast deformity.
 
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