Modified radical neck dissection, reconstruction with pectoralis major myocutaneous flap – case report

2007 ◽  
Vol 36 (11) ◽  
pp. 1088
Author(s):  
H. Mehra ◽  
M.N. Ravishankar ◽  
V. Garg
Keyword(s):  
Case Report ◽  
Neck Dissection ◽  
Myocutaneous Flap ◽  
Radical Neck Dissection ◽  
Pectoralis Major ◽  
Pectoralis Major Myocutaneous Flap ◽  
Modified Radical Neck Dissection

scholarly journals Fracture of the Clavicle following Radical Neck Dissection and Reconstruction Using Pectoralis Major Myocutaneous Flap Accompanied by Postoperative Radiotherapy

2018 ◽  
Vol 11 (2) ◽  
pp. 138-141 ◽  
Author(s):  
Yoshiki Nariai ◽  
Sho Odawara ◽  
Tomoko Ichiyama ◽  
Jun-ichi Akutsu ◽  
Takahiro Kanno ◽  
...  
Keyword(s):  
Neck Dissection ◽  
Myocutaneous Flap ◽  
Rare Complication ◽  
Postoperative Radiotherapy ◽  
Radical Neck Dissection ◽  
Primary Treatment ◽  
Japanese Woman ◽  
Pectoralis Major ◽  
Pectoralis Major Myocutaneous Flap ◽  
Dynamic Factor

Fracture of the clavicle following radical neck dissection (RND) and/or radiotherapy is a rare complication. Several causes of fracture of the clavicle after treatment of head and neck cancer were postulated in previous reports. We present a case of fracture of the clavicle after treatment of squamous cell carcinoma of the tongue. An 81-year-old Japanese woman underwent RND, subtotal glossectomy, reconstruction using a pectoralis major myocutaneous flap (PMMCF), and postoperative radiotherapy (50.4 Gy). One month after the primary treatment, fracture of the clavicle occurred. It was thought that muscular dynamic factor and reduction of blood supply in the clavicle associated with RND and PMMCF were the causes of the fracture. We have to recognize the occurrence of this complication and try to reduce the factors related to the complication.

scholarly journals Contraction of Transplanted Pectoralis Major Myocutaneous Flap Synchronized with Arm Adduction; A Case Report.

1997 ◽  
Vol 90 (1) ◽  
pp. 85-88
Author(s):  
Yasutaka Kawata ◽  
Kazuhiko Shoji ◽  
Koji Miyata ◽  
Shogo Shinohara ◽  
Shigeru Hirano ◽  
...  
Keyword(s):  
Case Report ◽  
Myocutaneous Flap ◽  
Pectoralis Major ◽  
Pectoralis Major Myocutaneous Flap

scholarly journals A modified pectoralis major myocutaneous flap technique with improved vascular supply and an extended rotation arc for oral defects: A case report

2015 ◽  
Vol 10 (5) ◽  
pp. 2739-2742 ◽  
Author(s):  
TAKAHIRO KANNO ◽  
YOSHIKI NARIAI ◽  
HIROTO TATSUMI ◽  
MASAAKI KARINO ◽  
AYA YOSHINO ◽  
...  
Keyword(s):  
Case Report ◽  
Myocutaneous Flap ◽  
Vascular Supply ◽  
Pectoralis Major ◽  
Pectoralis Major Myocutaneous Flap ◽  
Flap Technique

scholarly journals POST-SURGICAL SHOULDER REHABILITATION OF SELECTIVE NECK DISSECTION WITH PECTORALIS MAJOR MYOCUTANEOUS FLAP RECONSTRUCTION IN “SICK” SYNDROME PATIENTS

2021 ◽  
Vol 10 (3) ◽  
pp. 2933-2936
Author(s):  
Waqar M Naqvi
Keyword(s):  
Lymph Nodes ◽  
Neck Dissection ◽  
Positive Impact ◽  
Myocutaneous Flap ◽  
Rehabilitation Program ◽  
Pectoralis Major ◽  
Pectoralis Major Myocutaneous Flap ◽  
Selective Neck Dissection ◽  
Cervical Lymph Nodes ◽  
Shoulder Dysfunction

Selective neck dissection (SND) is a surgical procedure developed to remove cervical lymph nodes at the risk of invasion metastasis. It is distinguished from radical neck dissections wherein there is the retention of one or more groups of lymph nodes. In this case, a 45-year-old male shopkeeper diagnosed with malignancy of lower anterior alveolus from 45-36 region (stage IVA –T4a N2Cm0) underwent SND, segmental mandibulectomy, and reconstruction with pectoralis major myocutaneous flap (PMMC flap) on the left side. On assessment, before the SND, Scapular mal positioning, inferior medial border prominence, coracoid pain, and dyskinesia of scapular movement (SICK) were identified. The patient was referred for physiotherapy with the complaint of inability to maintain saturation, difficulty in decannulation, and shoulder dysfunction on postoperative day 3 (POD-3). Chest physiotherapy comprising of breathing and suctioning techniques aided early decannulation. Furthermore, a prompt shoulder rehabilitation program for six months had a positive impact on the overall functioning and quality of life of the patient.

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