Pectoralis Major Myocutaneous Flap vs Revascularized Free Tissue Transfer

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

“…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. Many authors have described high complication rates correlating with hypopharynx reconstruction, 15 , 28 , 29 thus giving support for our findings. The frequent clinical impairment caused by dysphagia and odynophagia, which are common symptoms of hypopharyngeal cancer, is likely to be one of the explanations for the poor reparative results found in our study and in others.…”

Pedicled Flaps versus Free Flaps for Oral Cavity Cancer Reconstruction: A Comparison of Complications, Hospital Costs, and Functional Outcomes

“…Some previous studies reported that patients with pedicled flap reconstruction had higher surgical complications and more unsatisfactory functional results than those with free flap reconstruction. 5 6 13 19 In the present study, pedicled flaps did not increase the risk of speech and swallowing dissatisfaction. Still, high tumor staging and large defect size were found to be the influencing factors in the multivariate analysis.…”

“…Concerning disease characteristics, there were no differences in primary tumor location, T staging, and overall N staging, which are similar to those recorded in previous studies. 3 5 8 9 19 21 24 However, the number of patients with N0 stage was significantly higher in the pedicle flap group than in the free flap group. It is noteworthy that 42.5% of submental island flap patients had N0 neck because obvious signs of level I lymph node metastasis in patients is a contraindication for this flap.…”

Comparison between anterolateral thigh perforator free flaps and pectoralis major pedicled flap for reconstruction in oral cancer patients-A quality of life analysis

“…However, there was significant difference in gender (P<0.005) between the two groups. Several previous studies found no significant difference in the gender distribution between free flap and PMMF (12,13). However, there was a higher proportion of female patients who underwent free flap reconstruction in the current study.…”