Hara Hara Mahadev (HHM) maneuver: Simple Yet Effective Way of Post-Operative Physiotherapy after Reconstruction with Pectoralis Major Myo-cutaneous Flap in Oral Cancer Defects

Introduction Pectoralis major myo-cutaneous flap remains time-tested work horse for reconstruction of postsurgical oral cancer defects despite of popularity of free flaps. But postoperatively majority of attention is provided to recipient site and its complications and donor site complications are often overlooked. Reduced post-operative mobility of shoulder joint and drooping shoulder’ after injury to spinal accessory nerve being the most common donor site morbidities. Method To overcome this complication, we have introduced a novel Physiotherapeutic maneuver named “Hara Hara Mahadev” (HHM) Maneuver. Wherein postoperatively patients were advised to do this novel physiotherapeutic maneuver regularly. Results With continued practice encouraging results with drastic increase in range of motion and shoulder mobility was observed.