Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Nov;13(Suppl 2):S1291-S1294.
doi: 10.4103/jpbs.jpbs_111_21. Epub 2021 Nov 10.

The Effectiveness of the Bilobed Pectoralis Major Myocutaneous Flap at a Tertiary Care Hospital: A Retrospective Analytical Study

Rohit Kumar Jha  1 , Sreeja Jami  2 , Rahul V C Tiwari  3 , Jayendra Purohit  4 , A P Vipindas  5 , Mohammed Ibrahim  6 , Fatima Abdullah Binyahya  7
Affiliations

The Effectiveness of the Bilobed Pectoralis Major Myocutaneous Flap at a Tertiary Care Hospital: A Retrospective Analytical Study

Rohit Kumar Jha et al. J Pharm Bioallied Sci. 2021 Nov.

Abstract

Background: Cosmetic defects after the major orofacial disease corrections may have an effect on the overall well-being of the patient. Head-and-neck cosmetic surgeries after a major episode of oral cancer impact the functional ability of the individual in several ways. In general, two types of flap are used in reconstructive surgery: microvascular free flaps and regional pedicle flaps. In socioeconomically poor countries like India, bilobed pectoralis major myocutaneous (PMMC) flap has been seen as a mainstay in facial reconstructive surgeries.

Materials and methods: The present study was conducted on 100 individuals with oral neoplasm who underwent resective surgery had a soft-tissue defect. All the complications that arose after reconstructive surgery were noted. Simple proportions were recorded.

Results: Majority of the individuals had the buccal mucosa as the common site of oral neoplasm, and the tumor nodes and metastases staging was I + II. One individual sustained total flap necrosis. Wound infection and dehiscence were the most common complications.

Conclusions: PMMC is best proven for flap reconstruction in oral neoplasm cases. It is established to be effective with good acceptability and very few complications. Due to these reasons, in spite of the known advances in facial reconstructive surgeries, this technique is widely followed in developing countries.

Keywords: Bilobed pectoralis major myocutaneous; complications; flap necrosis.

PubMed Disclaimer

Conflict of interest statement

There are no conflicts of interest.

References

    1. Chaudhary R, Akhtar S, Bariar M. Use of pectoralis major myocutaneous flap for resurfacing the soft tissue defects of head and neck. J Orofac Sci. 2014;68:93.
    1. Vos JD, Burkey BB. Functional outcomes after free flap reconstruction of the upper aerodigestive tract. Curr Opin Otolaryngol Head Neck Surg. 2004;12:305–10. - PubMed
    1. Saito A, Minakawa H, Saito N, Nagahashi T. Indications and outcomes for pedicled pectoralis major myocutaneous flaps at a primary microvascular head and neck reconstructive center. Mod Plast Surg. 2012;2:103–7.
    1. Vartanian JG, Carvalho AL, Carvalho SM, Mizobe L, Magrin J, Kowalski LP. Pectoralis major and other myofascial / myocutaneous flaps in head and neck cancer reconstruction: Experience with 437 cases at a single institution. Head Neck. 2004;26:1018–23. - PubMed
    1. Arlyan S, Cuono B. Use of pectoralis major myocutaneous flap for reconstruction of large cervical, facial or cranial defects. Am J Surg. 1980;140:503–6. - PubMed