Extended vertical lower trapezius island myocutaneous flap versus pectoralis major myocutaneous flap for reconstruction in recurrent oral and oropharyngeal cancer

Abstract

Use of an extended vertical lower TIMF, which has a longer pedicle flap and a larger skin paddle than a PMMF, is optimal for reconstruction of major defects. © 2015 Wiley Periodicals, Inc. Head Neck 38: E159-E164, 2016.

Comparison of outcomes with extensive segmental pectoralis major myocutaneous flap via the anterior axillary line and the conventional technique in oral and oropharyngeal cancer

“…This highlights the benefits of this technique. However, the reconstruction of the defects arising after wide resection of advanced oral and oropharyngeal SCC is a major problem . We believe that the PMMF or esPMMF may not be large enough to allow reconstruction of major through‐and‐through defects.…”

“…This technique is a useful alternative in regions of the world with a high incidence of head and neck malignancies and has been a workhorse for maxillofacial reconstruction in developing countries . However, the conventional techniques used for harvesting the PMMF have accompanying disadvantages, such as flap donor site and shoulder morbidity (see Figure ), and the flap may not be long enough for application to the skull base . Recently, we developed an extensive segmental pectoralis major myocutaneous flap (esPMMF) via the anterior axillary line for reconstructing defects arising after the resection of squamous cell carcinoma (SCC) of the oral cavity and oropharynx.…”

“…2 However, the conventional techniques used for harvesting the PMMF have accompanying disadvantages, such as flap donor site and shoulder morbidity (see Figure 1), and the flap may not be long enough for application to the skull base. 3 Recently, we developed an extensive segmental pectoralis major myocutaneous flap (esPMMF) via the anterior axillary line for reconstructing defects arising after the resection of squamous cell carcinoma (SCC) of the oral cavity and oropharynx. This study compares the outcomes of esPMMF and traditional PMMF in reconstruction in patients with oral and oropharyngeal SCC.…”

Craniofacial Resection and Reconstruction in Patients With Recurrent Cancer Involving the Craniomaxillofacial Region

“…9 In an earlier report, the incidence of CSF leakage, intracranial infection, and tension pneumocephalus was 5.6% following anterior skull base resections of malignant and benign tumors. 10 Craniofacial defects can be reconstructed in one stage, using either regional flaps, including temporal flaps, 11 island pedicle flaps such as the submental and pectoralis major flaps, 12,13,14 reconstructing major defects of the skull base in 3 patients. The use of Dura-Guard ® and these large flaps was adequate for the prevention of CSF fluid leakage, meningitis, tension pneumocephalus, and brain herniation among the three patients who underwent intradural dissection (cases 11 and 12 in Table 1 and case 1 in Table 2).…”

Comparison of the reconstruction of through-and-through cheek defects involving the labial commissure following tumor resection using four types of local and pedicle flaps

“…Recently, we developed the folded extended supraclavicular fasciocutaneous island flap (SFIF) based on the transverse cervical vessels for reconstructing through-and-through cheek defects [9]. The folded pectoralis major muscle flap (PMMF) based on the thoracoacromial vessels [10], and folded extended vertical lower trapezius island myocutaneous flap (TIMF) based on the transverse cervical vessels can also be used [11, 12]. This study compares the outcomes of A-EF, SFIF, PMMF, and TIMF pedicle flaps for reconstructing through-and-through cheek defects involving the labial commissure following cheek cancer ablation.…”