The indications and complications of pectoralis major myocutaneous flap reconstruction in head and neck surgery-our experience
- PMID: 23119459
- PMCID: PMC3451418
- DOI: 10.1007/BF03000688
The indications and complications of pectoralis major myocutaneous flap reconstruction in head and neck surgery-our experience
Abstract
Most of the head and neck cancer patients in India present to the Otolaryngologist, Head and Neck surgeon in the advanced stages of their disease. Extensive resection followed by acceptable morphological & functional reconstruction is the goal for the surgeon. Use of the pectoralis major myocutaneous (PMMC) flap enables extensive ablative procedures to be carried out followed by immediate and reliable reconstruction. Thirty consecutive cases of biopsy proven squamous cell carcinoma of the head and neck region were studied. All underwent extensive resection of the tumour with pectoralis major myocutaneous flap reconstruction, with preor post-operative external irradiation. This study concentrates on the indications for and complications encountered with the use of the pectoralis major myocutaneous flap. Also included is an extensive review of the literature relating to the complications encountered with the use of this method of reconstruction.
Keywords: Head and Neck Surgery; Musculocutaneous Flaps; Myocutaneous Flap; Pectoralis Major.
References
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- Biller H., Baek S.M., Lawson W., et al. The pectoralis major myocutaneous island flap in head nad neck surgery. Archives of Otolaryngology. 1981;107:23–23. - PubMed
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