Combined Use of Pectoralis Major Myocutaneous Flap and Deltopectoral Flap for the Reconstruction of Advanced Oral Cancers: Our Experience in 29 Cases

The pectoralis major myocutaneous flap is presented in its two basic forms: a muscle flap carrying a skin paddle and the continuous skin-muscle flap technique. The pertinent anatomy of the enveloping fascial planes is reviewed, stressing the increased latitude of safety afforded by elevating the vascular pedicle from the undersurface of the lateral muscle edge. The advantages of a deltopectoral flap outline in approaching the formation of the skin-muscle paddle are introduced. Clinical applications, advantages, and disadvantages are discussed.

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Primary head and neck reconstruction with a simultaneous ipsilateral pectoralis major myocutaneous flap and a deltopectoral flap

Journal of Surgical Oncology ◽

10.1002/jso.2930250115 ◽

1984 ◽

Vol 25 (1) ◽

pp. 50-53

Author(s):

Don M. Morris ◽

William Reed ◽

Marshall Cunningham

Keyword(s):

Head And Neck ◽

Myocutaneous Flap ◽

Pectoralis Major ◽

Pectoralis Major Myocutaneous Flap ◽

Head And Neck Reconstruction ◽

Neck Reconstruction ◽

Deltopectoral Flap

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Combined Pectoralis Major Myocutaneous Flap with Medially Based Deltopectoral Flap for Closure of Large Pharyngocutaneous Fistulas

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348948209100122 ◽

1982 ◽

Vol 91 (1) ◽

pp. 98-100 ◽

Cited By ~ 4

Author(s):

Robert H. Maisel ◽

Stephen L. Liston

Keyword(s):

Soft Tissue ◽

Head And Neck ◽

Myocutaneous Flap ◽

Donor Site ◽

Pectoralis Major ◽

Pectoralis Major Myocutaneous Flap ◽

Head And Neck Reconstruction ◽

Neck Reconstruction ◽

Deltopectoral Flap ◽

Pectoralis Flap

The pectoralis major myocutaneous flap has become the new and heavily used tool for head and neck reconstruction. This flap is reliable, versatile and allows moving large blocks of skin and soft tissue quickly, with little morbidity to the donor site. This paper describes the concept of combining the pectoralis flap with an ipsilateral medially based deltopectoral flap, to reconstruct a large pharyngostome. The skin incisions must be correctly drawn and the flaps elevated in sequence to prevent interruption of blood supply to the deltopectoral flap. Using the techniques described in the paper, rapid rehabilitation with little morbidity can be achieved.

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Mucormycosis at pectoralis major myocutaneous flap donor site

Indian Journal of Plastic Surgery ◽

10.1055/s-0039-1699155 ◽

2006 ◽

Vol 39 (02) ◽

pp. 182-184

Author(s):

A Saraiya Hemant ◽

A Tankshali Rajen

Keyword(s):

Life Support ◽

Myocutaneous Flap ◽

Donor Site ◽

Radical Neck Dissection ◽

Pectoralis Major ◽

Pectoralis Major Myocutaneous Flap ◽

Old Patients ◽

Mucosal Carcinoma ◽

Life Threatening ◽

Deltopectoral Flap

ABSTRACT Background: Advanced carcinomas involving the head and neck present a major therapeutic challenge because of their poor prognosis particularly in old age irrespective of the treatment modality used. Materials and Methods: A 71-year-old patient presented with right-sided buccal mucosal carcinoma involving the mandible. Composite resection with removal of mandible and radical neck dissection was done. Pectoralis major myocutaneous flap (PMMC) with deltopectoral flap was done to cover the defect. On the 14th day mucormycosis was noted on pectoralis major myocutaneous flap donor site. Radical debridement and appropriate antibiotic and antifungal treatment was started. The patient was put on life support system. Results:Despite aggressive treatment the patient died. Conclusion:This case reaffirms the views that radical surgical procedure should be carried out with caution in old patients with preexisting diseases as the chances of life-threatening complications are very high in these patients. Mucormycosis at pectoralis major myocutaneous flap (PMMC) donor site is probably being reported for the first time

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