Colgajo pediculado de pectoral mayor: nuestra experiencia en 76 casos consecutivos

Marqués, J B Vendrell; Latorre, Erika; Perepérez, Eduardo Ferrandis; Ferriol, E Eestellés; Durbán, S Brotons

doi:10.1016/s0001-6519(02)78279-4

Cited by 3 publications

(2 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Section: Discussionsupporting

confidence: 65%

“…Thus, this diversity of applications attests to the versatility of PMMFs, as already pointed out by other researchers. 18,19,25,26 A high success rate for reconstruction purposes was observed using PMMFs (54/58; 93.1%), and this rate compares favorably with several papers in the literature. 9,13,15,27 From evaluation of the final result from the reconstruction, the variables that statistically correlated with reconstruction failure were the hypopharynx as the site of the defect and other oncological treatment prior to using PMMFs.…”

Section: Discussionsupporting

confidence: 53%

See 1 more Smart Citation

Pectoralis major myocutaneous flaps for head and neck reconstruction: factors influencing occurrences of complications and the final outcome

et al. 2010

View full text Add to dashboard Cite

CONTEXT AND OBJECTIVE: Pedicled flaps play an important role in cancer treatment centers, particularly in developing and emerging countries. The aim of this study was to identify factors that may cause complications and influence the final result from reconstructions using pectoralis major myocutaneous flaps (PMMFs) for head and neck defect repair following cancer resection. DESIGN AND SETTING:Cross-sectional study at the Hospital de Ensino Padre Anchieta of Faculdade de Medicina do ABC (FMABC). METHODS:Data on 58 patients who underwent head and neck defect reconstruction using PMMFs were reviewed. The final result from the reconstruction (success or failure) and the complications observed were evaluated in relation to the patients' ages, area reconstructed, disease stage, previous oncological treatment and need for blood transfusion.RESULTS: There were no total flap losses. The reconstruction success rate was 93.1%. Flap-related complications occurred in 43.1% of the cases, and half of them were considered major. Most of the complications were successfully treated. Defects originating in the hypopharynx were correlated with the development of major complications (P = 0.02) and with reconstruction failure (P < 0.001). Previous oncological treatment negatively influenced the reconstruction success (P = 0.04). CONCLUSIONS:Since the risk factors for developing major complications and reconstruction failure are known, it is important to heed the technical details and provide careful clinical support for patients in a more critical condition, so that better results from using PMMFs can be obtained.RESUMO CONTEXTO E OBJETIVO: Retalhos pediculados têm grande importância nos centros de tratamento do câncer, principalmente em países emergentes e em desenvolvimento. O objetivo deste trabalho foi identificar fatores que determinam complicações e influenciam no resultado final das reconstruções com retalho miocutâneo de peitoral maior (RMPM) no reparo de defeitos cirúrgicos por ressecções de cânceres de cabeça e pescoço. TIPO DE ESTUDO E LOCAL: Estudo transversal no Hospital de Ensino Padre Anchieta da Faculdade de Medicina do ABC.MÉTODOS: Dados de 58 pacientes submetidos a reconstruções de defeitos de cabeça e pescoço com RMPM foram revisados. O resultado final da reconstrução (sucesso ou falha) e as complicações observadas foram avaliados de acordo com a idade do paciente, área reconstruída, estágio da doença, tratamento oncológico prévio e necessidade de transfusão sanguínea.RESULTADOS: Não houve perda total de retalho. A taxa de sucesso da reconstrução foi de 93,1%. Complicações relacionadas ao retalho ocorreram em 43,1% dos casos e 50% delas foram considerados como complicações maiores. A maioria das complicações foi tratada com sucesso. Os defeitos originados da hipofaringe relacionaram-se com o desenvolvimento de complicações maiores (P = 0,02) e falhas na reconstrução (P < 0,001). Tratamento oncológico prévio influenciou negativamente no sucesso da reconstrução (P = 0,04).CONCLUSÕES: Como os fatores de risco...

show abstract