Role of Pectoralis Major Myocutaneous Flap in Laryngectomy Surgery: Single Surgeon Experience

Overview

Journal Cureus

Specialty Biomedical Engineering

Date 2021 Nov 1

PMID 34722018

Citations 2

Authors

Samba Siva Bathula

Noah A Stern

Andrew Ross

Tyler Patrick

Edward R Talatala

Affiliations

Soon will be listed here.

Abstract

Objective To analyze the effectiveness of the pectoralis major myocutaneous (PMMC) flap in preventing pharyngocutaneous fistula (PCF) formation for salvage total laryngectomy patients. Study design Retrospective chart review of all post-surgical laryngectomy patients for a single surgeon. Methods Inclusion criteria were adult patients 18 years and older who were diagnosed with laryngeal cancer and treated with a salvage total laryngectomy. Exclusion criteria were any laryngectomy patient treated without the PMMC flap or those with incomplete medical records. Results A total of 31 patient charts were identified, and 16 remained after exclusion criteria. The patient age range was 42-71 years (mean = 58.19; SD = 8.093). Greater than 85% of patients had T3 and T4 laryngeal cancers. Without PCF group were 13 patients and with PCF group were only three patients. The mean hospital days in without PCF group were 9.54 and in with PCF group were 16.33. Conclusion In this single surgeon's experience, PCF was prevented by using the PMMC flap in salvage total laryngectomy patients.

Citing Articles

A Novel and Simple Technique to Reduce the Rate of Pharyngocutaneous Fistula Formation Following a Total Laryngectomy - our Initial Results.

Poutoglidis A, Forozidou E, Fyrmpas G, Mantsopoulos K, Paraskevas G, Lazaridis N Indian J Otolaryngol Head Neck Surg. 2024; 76(1):997-1001.

PMID: 38440597 PMC: 10908975. DOI: 10.1007/s12070-023-04343-7.

Management of Locally Advanced Laryngeal Cancer-From Risk Factors to Treatment, the Experience of a Tertiary Hospital from Eastern Europe.

Cirstea A, Bertesteanu S, Scaunasu R, Popescu B, Bejenaru P, Simion-Antonie C Int J Environ Res Public Health. 2023; 20(6).

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