scholarly journals Pectoralis major myocutaneous flap in Head And Neck Surgery reconstructions: critical analysis.

2018 ◽  
Vol 45 (2) ◽  
Author(s):  
MARCELO BENEDITO MENEZES ◽  
KASSEM SAMIR SALEH ◽  
MARIANNE YUMI NAKAI ◽  
LUCAS PORTO MAURITY DIAS ◽  
NORBERTO KODI KAVABATA ◽  
...  
Keyword(s):  
Head And Neck ◽  
Stage Iv ◽  
Data Bank ◽  
Neck Surgery ◽  
Pectoralis Major ◽  
Head And Neck Surgery ◽  
Clinical Staging ◽  
Pectoralis Major Flap ◽  
Major Complications ◽  
Surgery Department

ABSTRACT Objective: to evaluate the results of the use of the pectoralis major flap in the reconstruction of head and neck surgeries. Methods: we conducted a retrospective study with data bank analysis and review of medical records of patients with head and neck cancer operated at the Discipline of Head and Neck Surgery, Surgery Department, São Paulo Holy Home of Mercy, using the pectoralis major flap for reconstruction, in a period of 16 years. We analyzed age, gender, primary site of neoplasia, clinical staging, preoperative radiotherapy (RT) and complications, classified as major and minor. Results: the series comprised 92 patients, of whom 86 (93.5%) were men; the mean age was 61.39 (±11.35) years; the most common primary sites were the mouth, in 35 cases (38%), oropharynx, in 21 (22.8%), and larynx, in 18 cases (19.6%). The majority of patients were in stage IV (88/92, 95.6%) and only four (4.3%) had preoperative RT. The overall complication rate was 48.9%, but only 6.5%, characterized as major complications. In the univariate statistical analysis, we found no factors related to the occurrence of complications. Only the primary neoplasm site presented marginal significance (p = 0.06). Conclusion: the pectoralis major flap is safe, with few complete and effective losses in reconstructions in head and neck surgeries, with low rates of major complications, being an option to be considered.

scholarly journals Evaluation of the pectoralis major flap for reconstructive head and neck surgery

2011 ◽  
Vol 3 (1) ◽  
Author(s):  
Astrid L Kruse ◽  
Heinz T Luebbers ◽  
Joachim A Obwegeser ◽  
Marius Bredell ◽  
Klaus W Grätz
Keyword(s):  
Head And Neck ◽  
Neck Surgery ◽  
Pectoralis Major ◽  
Head And Neck Surgery ◽  
Pectoralis Major Flap

scholarly journals Enhanced Morbidity of Pectoralis Major Myocutaneous Flap Used for Salvage after Previously Failed Oncological Treatment and Unsuccessful Reconstructive Head and Neck Surgery

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Christiana Maria Ribeiro Salles Vanni ◽  
Leandro Luongo de Matos ◽  
Mário Paulo Faro Junior ◽  
Jossi Ledo Kanda ◽  
Cláudio Roberto Cernea ◽  
...  
Keyword(s):  
Radiation Therapy ◽  
Head And Neck ◽  
Myocutaneous Flap ◽  
Neck Surgery ◽  
Cross Sectional Study ◽  
Pectoralis Major ◽  
Pectoralis Major Myocutaneous Flap ◽  
Cross Sectional ◽  
Oncological Treatment ◽  
Major Complications

Introduction. The reconstruction of complex cervicofacial defects arising from surgical treatment for cancer is a real challenge for head and neck surgeons, especially in salvage reconstruction surgery and/or failed previous reconstruction. The pectoralis major myocutaneous flap (PMMF) has been widely used in these specific situations due to its reliability and low rate of failure or complications.Objectives. Identify factors that determine complications and influence the final outcome of the reconstructions with PMMF in salvage cancer surgery or in salvage reconstruction.Methods. A cross-sectional study design was used to evaluate a sample including 17 surgical patients treated over a period of ten years that met the inclusion criteria.Results. Reconstruction was successful in 13 cases (76.5%), with two cases of partial flap loss and no case of total loss. Complications occurred in 13 cases (76.5%) and were specifically related to the flap in nine instances (52.9%). An association was identified between the development of major complications and reconstruction of the hypopharynx () as well as in patients submitted to surgery in association with radiation therapy as a previous cancer treatment (). The former condition is also associated with major reconstruction failure (). An even lower incidence of major complications was noted in patients under the age of 53 ().Conclusion. Older patients, with hypopharyngeal defects and submitted to previous surgery plus radiation therapy, presented a higher risk of complications and reconstruction failure with PMMF.

100 years of Otorhinolaryngology, Head Neck Surgery Department of Medical University of Warsaw

2021 ◽  
Vol 9 (4) ◽  
pp. 1-5
Author(s):  
Kazimierz Niemczyk ◽  
Antoni Bruzgielewicz ◽  
Ewa Osuch Wójcikiewicz ◽  
Piotr Chęciński ◽  
Katarzyna Pierchała ◽  
...  
Keyword(s):  
Head And Neck ◽  
Neck Surgery ◽  
Head And Neck Surgery ◽  
History Of ◽  
Surgery Department ◽  
Medical University ◽  
Head Neck Surgery ◽  
Head Neck

On January 15, 2021, one hundred years have passed since the establishment of the Department of Otorhinolaryngology, Head and Neck Surgery at the Medical University of Warsaw. The authors representing the oldest generations of the current Team present the history of the Clinic from its establishment to the present day. The most important achievements throughout history and selected activities of the team currently working are described.

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