Pectoralis major flaps: Functional aspects of the repair of oral and oropharyngeal resections

Parker, Debbie; Woodhead, Jamie; Chir, B.; Gupta, Amar

doi:10.1017/s0022215100105493

Cited by 5 publications

(2 citation statements)

References 17 publications

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“…The rate of flap loss in this series does not exceed that in other reports in the literature, i.e. an average of 4.5% [4][5][6][9][10][11][12][13].…”

Section: Discussionmentioning

confidence: 48%

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Results after Resection of Intraoral Cancer and Reconstruction with the Free Radial Forearm Flap

Stark

Nathanson

Hedén

et al. 1998

ORL

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Between 1989 and 1996, 47 patients with an intraoral squamous cell carcinoma underwent tumor resection and reconstruction with a free volar forearm flap. Tumor resection and neck dissection were performed by a head and neck surgeon and the free tissue transfer by a plastic surgeon. Preoperative radiation therapy was given to 44 of 47 patients and postoperative radiation therapy to 2. One other patient was not irradiated. There were 15 females and 32 males, with a mean age of 61 years. The primary site of the cancer was the tongue in 15 cases, the floor of the mouth in 15, the tonsil in 10, the bucca in 3 and the retromolar trigone in 4 cases. The flap was harvested from the left forearm in 34 and from the right in 13 patients. The mean operation time was 10 h (range 6–20) and the mean intraoperative bleeding was 486 ml (250–2,500). Forty-four of 46 flaps healed completely. Twelve revisions on 9 free flaps were performed between 6 h and 6 days postoperatively. Overall revisional surgery was done in 9 of 47 cases (19%). Two flaps could not be saved (4%). Infections/fistulas in the neck occurred in 11 of 46 cases (24%). Complete healing of the donor site occurred at a mean of 2.5 months (1–5). Nine patients developed complications at the donor site, 3 hematomas and 6 superficial infections (19%). Twenty-seven of 47 patients are still alive (57%). The mean survival time was 49 months (16–71).

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“…The rate of flap loss in this series does not exceed that in other reports in the literature, i.e. an average of 4.5% [4][5][6][9][10][11][12][13].…”

Section: Discussionmentioning

confidence: 48%

“…The radial forearm flap is known to have the advantage of providing a predictable vessel anatomy [7]. The flap is easy to harvest and it provides a long vascular pedicle, even for anastomoses with recipient vessels on the contralateral side of the neck [8,9]. The size of the radial forearm flap can be made to fit any intraoral defect.…”

Section: Discussionmentioning

confidence: 99%

Results after Resection of Intraoral Cancer and Reconstruction with the Free Radial Forearm Flap

Stark

Nathanson

Hedén

et al. 1998

ORL

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Versatility of Pectoralis Major Myocutaneous Flap in Oncosurgery and Its Role in Developing Countries

Metgudmath

et al. 2012

Indian J Otolaryngol Head Neck Surg

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The objective of this study was to assess the versatility of pectoralis major myocutaneous (PMMC) flap in the reconstruction of diverse surgical defects following resection of various head and neck malignancies. We performed retrospective analysis of patients in whom PMMC was used to reconstruct head and neck surgical defects during May 2006 to December 2010. The study was carried out at KLES Dr. Prabhakar kore Hospital & M.R.C, Belgaum and involved 95 patients. The patients were grouped depending on the site of defect reconstructed and were analyzed in detail. Of the 95 patients, between the age group 38 and 62 years, 69 patients were males while 26 patients were females. PMMC was used to reconstruct 59 cases of oral mucosal defect, ten cases of skin defect and 18 cases of simultaneous oral mucosal and outer skin defect. PMMC was also used in two cases of laryngopharyngeal defects and six cases with floor of mouth and tongue defects. No failures were noted in the study during the follow up period. Despite worldwide emphasis on free flaps as gold standard in the reconstruction of tissue defects, institutions in developing countries where financial constraints are encountered or as salvage procedure for free flap failure, PMMC due to its versatility is still considered the workhorse for reconstruction of moderate to large sized head and neck defects.

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The Iliac Crest Composite Flap For Oromandibular Reconstruction

Moscoso

Urken²

1994

Otolaryngologic Clinics of North America

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Pectoralis major flaps: Functional aspects of the repair of oral and oropharyngeal resections

Cited by 5 publications

References 17 publications

Results after Resection of Intraoral Cancer and Reconstruction with the Free Radial Forearm Flap

Results after Resection of Intraoral Cancer and Reconstruction with the Free Radial Forearm Flap

Versatility of Pectoralis Major Myocutaneous Flap in Oncosurgery and Its Role in Developing Countries

The Iliac Crest Composite Flap For Oromandibular Reconstruction

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