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The Indications and Complications of Pectoralis Major Myocutaneous Flap Reconstruction in Head and Neck Surgery-our Experience

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Publisher Springer
Date 2012 Nov 3
PMID 23119459
Citations 4
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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.

Citing Articles

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Bipaddle Pectoralis Major Myocutaneous Flap (PMMC) for Complex Composite Oral Cavity Defects: An Experience of a Tertiary Cancer Centre.

Gora B, Sharma S, Patel P, Lakhera K, Singh S, Babu A Indian J Otolaryngol Head Neck Surg. 2024; 76(1):336-343.

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Ipsilateral Cervicodeltopectoral Flap: A Forgotten Technique, Revival in the Era of Microvascular Reconstruction.

Usman N, Dikhit P, Kumar N, Shetty P, Rajan K, Vittamsetti V J Maxillofac Oral Surg. 2024; 23(1):38-43.

PMID: 38312978 PMC: 10831001. DOI: 10.1007/s12663-022-01757-8.


PMMC Flap Revisited and its Clinical Outcome in 150 Patients.

Anehosur V, Dikhit P, Nagraj N, Jayade B, Kumar N J Maxillofac Oral Surg. 2020; 19(1):26-31.

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References
1.
Bone R . Myocutaneous flaps: strategy for utilization. Laryngoscope. 1981; 91(5):735-43. DOI: 10.1288/00005537-198105000-00006. View

2.
Shank E, Patow C . The pectoralis major flap. Ear Nose Throat J. 1992; 71(4):161-5. View

3.
Nagral S, Sankhe M, Patel C . Experience with the pectoralis major myocutaneous flap for head and neck reconstruction in a general surgical unit. J Postgrad Med. 1992; 38(3):119-23. View

4.
Keidan R, Kusiak J . Complications following reconstruction with the pectoralis major myocutaneous flap: the effect of prior radiation therapy. Laryngoscope. 1992; 102(5):521-4. DOI: 10.1288/00005537-199205000-00009. View

5.
Baek S, Lawson W, Biller H . An analysis of 133 pectoralis major myocutaneous flaps. Plast Reconstr Surg. 1982; 69(3):460-9. DOI: 10.1097/00006534-198203000-00010. View