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 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.

scholarly journals Mucormycosis at pectoralis major myocutaneous flap donor site

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

scholarly journals Reconstruction with a pectoralis major myocutaneous flap after left first rib and clavicular chest wall resection for a metastasis from laryngeal cancer

2014 ◽  
Vol 64 (5) ◽  
pp. 294-297 ◽  
Author(s):  
Francesco Paolo Caronia ◽  
Alfonso Fiorelli ◽  
Fabio Zanchini ◽  
Mario Santini ◽  
Attilio Ignazio Lo Monte ◽  
...  
Keyword(s):  
Chest Wall ◽  
Laryngeal Cancer ◽  
Myocutaneous Flap ◽  
Pectoralis Major ◽  
Pectoralis Major Myocutaneous Flap ◽  
Chest Wall Resection ◽  
First Rib

Pectoralis major myocutaneous flap for reconstruction of partial circumference hypopharyngeal defects

1996 ◽  
Vol 19 (4) ◽  
Author(s):  
S.P. Deshmukh ◽  
S.G. Patel ◽  
D.N. Savant ◽  
R. Gujarati ◽  
H.M. Bhathena ◽  
...  
Keyword(s):  
Myocutaneous Flap ◽  
Pectoralis Major ◽  
Pectoralis Major Myocutaneous Flap

Effect of Anterolateral Thigh Perforator Flap Repair on the Appearance, Language and Masticatory Function of Oral Cancer Patients after Radical Surgery

2021 ◽  
Vol 7 (5) ◽  
pp. 4277-4285
Author(s):  
Fengchun Hou ◽  
Di Wang ◽  
Tao Jiang
Keyword(s):  
Oral Cancer ◽  
Cancer Patients ◽  
Myocutaneous Flap ◽  
Perforator Flap ◽  
Pectoralis Major ◽  
Pectoralis Major Myocutaneous Flap ◽  
Control Group ◽  
Study Group ◽  
Masticatory Function ◽  
Oral Cancer Patients

Purpose: The purpose was to explore the application effect of anterolateral thigh perforator flap (ALTP) and pectoralis major myocutaneous flap on repairing the tissuedefects after oral cancer surgery. Methods: 100 oral cancer patients treated in our hospital from January 2018 to December 2020 were selected as the research objects. After both groups of patients received extended resection of tumors, neck lymph node dissection and other routine treatment, the control group was repaired by pectoralis major myocutaneous flap while the study group was repaired by ALTP to compare the flap survival rate, language, masticatory function and other related indicators between the two groups. Results: The flap harvesting time and defect repair time in the control group were shorter than those in the study group (P<0.05); The language, masticatory function and swallowing function in both groups after treatment were significantly better than those before treatment (P<0.05); The total incidence of complications in the study group was significantly lower than that in the control group (P<0.05); After treatment, the quality of life scores in both groups were significantly higher than those before treatment (P<0.05). Conclusion: Both ALTP and pectoralis major myocutaneous flap can be used to repair the tissue defects after radical resection of oral cancer, which can effective improve the postoperative appearance, language and masticatory function of oral cancer patients. However, pectoralis major myocutaneous flap has easier operation and shorter operation time while ALTP can significantly reduce the incidence of postoperative complications with higher safety.

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