The Extended Pectoralis Major Flap in Head and Neck Reconstruction

1986 ◽  
Vol 94 (3) ◽  
pp. 274-278 ◽  
Author(s):  
Clarence T. Sasaki ◽  
Linda J. Gardiner ◽  
Roy D. Carlson ◽  
Thomas Vris
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Pectoralis Major ◽  
Head And Neck Reconstruction ◽  
Pectoralis Major Flap ◽  
Reconstructive Procedures ◽  
Musculocutaneous Flaps ◽  
Neck Reconstruction ◽  
Reconstructive Techniques

Historically, major extirpative surgery for control of head and neck cancer developed well in advance of reconstructive procedures that could provide acceptable functional and cosmetic rehabilitation. Introduction of cutaneous axial and random flaps— followed more recently by the description of musculocutaneous flaps—represented major advances in reconstructive techniques.

Reporting of Cosmesis in Head and Neck Reconstruction: A Systematic Review

2018 ◽  
Vol 160 (4) ◽  
pp. 573-579
Author(s):  
Peter M. Vila ◽  
Tam Ramsey ◽  
Lauren H. Yaeger ◽  
Shaun C. Desai ◽  
Gregory H. Branham
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Neck Surgery ◽  
Patient Questionnaire ◽  
Head And Neck Reconstruction ◽  
Exclusion Criteria ◽  
Neck Reconstruction ◽  
Cosmetic Outcomes ◽  
Validated Instrument

Objective To identify the method and rate at which cosmesis is reported after reconstruction from head and neck surgery among adults. Data Sources A medical librarian implemented search strategies in multiple databases for head and neck reconstruction, outcome assessment/patient satisfaction, and cosmesis/appearance. Review Methods Inclusion and exclusion criteria were designed to capture studies examining adults undergoing reconstruction after head and neck cancer surgery with assessment of postoperative cosmesis. The primary outcome was the method to assess cosmesis. Secondary outcomes were types of instruments used and the rate at which results were reported. Validated instruments used in these studies were compared and critically assessed. Results The search identified 4405 abstracts, and 239 studies met inclusion and exclusion criteria. Of these, 43% (n = 103) used a scale or questionnaire to quantify the cosmetic outcome: 28% (n = 66), a visual analog, Likert, or other scale; 13% (n = 30), a patient questionnaire; and 3% (n = 7), both. Of the 103 studies that used an instrument, 14% (n = 14, 6% overall) used a validated instrument. The most common validated instrument was the University of Washington Quality of Life (UWQOL) questionnaire (4%, n = 9). The most highly rated instruments were the UWQOL and the Derriford Appearance Scale. Conclusions Reporting of cosmetic outcomes after head and neck cancer reconstruction is heterogeneous. Most studies did not report patient feedback, and a minority used a validated instrument to quantify outcomes. To reduce bias, improve reliability, and decrease heterogeneity, we recommend the UWQOL to study cosmetic outcomes after head and neck reconstruction.

The pectoralis major flap in head and neck reconstruction: First 500 patients

2006 ◽  
Vol 34 (6) ◽  
pp. 340-343 ◽  
Author(s):  
Aleksandar Milenović ◽  
Mišo Virag ◽  
Vedran Uglešić ◽  
Naranđa Aljinović-Ratković
Keyword(s):  
Head And Neck ◽  
Pectoralis Major ◽  
Head And Neck Reconstruction ◽  
Pectoralis Major Flap ◽  
Neck Reconstruction

An Analysis of 26 “Extended” Pectoralis Major Musculocutaneous Flaps in Head and Neck Reconstruction

1998 ◽  
Vol 41 (4) ◽  
pp. 451
Author(s):  
Mitsuo Hatoko ◽  
Aiko Shiba ◽  
Masamitsu Kuwahara ◽  
Tadashi Okazaki ◽  
Aya Tanaka ◽  
...  
Keyword(s):  
Head And Neck ◽  
Pectoralis Major ◽  
Head And Neck Reconstruction ◽  
Musculocutaneous Flaps ◽  
Neck Reconstruction

Pectoralis major flap for head and neck reconstruction in era of free flaps

2012 ◽  
Vol 41 (4) ◽  
pp. 453-457 ◽  
Author(s):  
V.D. Kekatpure ◽  
N.P. Trivedi ◽  
B.V. Manjula ◽  
A. Mathan Mohan ◽  
G. Shetkar ◽  
...  
Keyword(s):  
Head And Neck ◽  
Free Flaps ◽  
Pectoralis Major ◽  
Head And Neck Reconstruction ◽  
Pectoralis Major Flap ◽  
Neck Reconstruction

scholarly journals HEAD AND NECK RECONSTRUCTION

2011 ◽  
Vol 18 (02) ◽  
pp. 310-316
Author(s):  
FIRDOUS KHAN ◽  
SYED ASIF SHAH ◽  
HIFSA HAMEED ◽  
Naji ullah Khan
Keyword(s):  
Oral Cavity ◽  
Head And Neck ◽  
Pedicled Flap ◽  
Pectoralis Major ◽  
Head And Neck Reconstruction ◽  
Complication Rates ◽  
Salvage Procedure ◽  
Pedicle Flap ◽  
Reconstructive Procedures ◽  
Neck Reconstruction

Background: The pectoralis major myocutaneous pedicle flap (PMMPF) has been considered to be the "workhorse" of pedicled flaps in head and neck reconstruction. Despite the use of free flaps, this flap is still considered the mainstay of head and neck reconstruction. The flap is usually associated with a high incidence of complications compared with the free fasciocutaneous flaps yet its size, viability, and versatility make it a valuable tool for extending the limits of resectability and reconstruction. It is type V muscle flap with the dominant vascular supply from the pectoral branch of thoracoacromial artery. Objective: To share our experience of pectoralis major myocutaneous pedicle flap in selected cases of head and neck reconstruction. The indications, type of reconstruction and complications of the flap utilization were evaluated. Patients and Methods: Between March 2005 and August 2010, a 37 head and neck reconstructive procedures using the PMMPF were carried out. The indications for the flap use were defects due to resection of stage II-IV cancer in the head and neck region. The site, stage of the disease and the postoperative complications were all documented. Results: Pectoralis major myocutaneous pedicled flap reconstructions were used to reconstruct defects in the following sites: oral cavity (25 patients); oropharynx/ hypopharynx, (7 patients); and neck or face (5 patients). Of the 37 PMMPF reconstructions, 30 flaps were carried out as primary reconstructive procedures, whereas 7 flaps were "salvage" procedures. Twentyfive patients (67.59%) had complications. A higher complication rates were associated with the utilization of the flap as a salvage procedure, number of co- morbidities, and in oral cavity reconstructions. Conclusions: The pectoralis major myocutaneous pedicled flap is still an acceptable method of head and neck reconstruction. It is fast, reliable, provides safe repair and is indicated especially where bulk is needed.

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