Reconstruction of Pharyngeal Defect with Prelaminated Pectoralis Major Pedicled Flap

2016 ◽  
Vol 1 (1) ◽  
pp. 4
Author(s):  
Ilyas Akhundzada ◽  
Araz Aliyev ◽  
Tural Huseynov ◽  
Rauf Kerimov
Keyword(s):  
Pedicled Flap ◽  
Pectoralis Major ◽  
Pharyngeal Defect

Simultaneous reconstruction of large skin and mucosal defect following head and neck surgery with a single skin paddle pectoralis major myocutaneous flap

2005 ◽  
Vol 119 (4) ◽  
pp. 303-305 ◽  
Author(s):  
P Chaturvedi ◽  
P S Pai ◽  
K A Pathak ◽  
D A Chaukar ◽  
M S Deshpande ◽  
...  
Keyword(s):  
Head And Neck ◽  
Free Tissue Transfer ◽  
Pedicled Flap ◽  
Pectoralis Major ◽  
Head And Neck Reconstruction ◽  
Skin Defect ◽  
Skin Paddle ◽  
Tissue Transfer ◽  
Mucosal Lining ◽  
Large Skin

The pectoralis major myocutaneous (PMMC) flap is commonly used for head and neck reconstruction especially in impoverished nations. PMMC is a sturdy pedicled flap with relatively fewer complications, the learning curve is short and no specialized training in microvascular surgery is needed in order to use this flap. In a defect that requires a large skin and mucosal lining the authors routinely use either a bi-paddle PMMC or a combination of PMMC (for the mucosal lining) and a delto-pectoral flap (for the skin defect). It is indisputable that free tissue transfer is a better way of reconstruction for the majority of most such defects. Unfortunately, not all patients can be offered this form of reconstruction due to the cost, time, expertise and infrastructural constraints in high volume centres such as ours. Bi-paddling of PMMC is hazardous in obese males and most female patients. In such patients the skin defect is reconstructed usually by the delto-pectoral (DP) flap but this, for obvious reasons, is less welcomed by the patients. The authors suggest a technique wherein mucosal lining is created by the myofascial lining (inner surface) of the flap and the skin defect is reconstructed by the skin paddle of the single paddle PMMC. It should be considered wherever a DP flap is unacceptable, or bi-paddling or free tissue transfer is not possible.

The Pectoralis Major Myocutaneous Pedicled Flap

2013 ◽  
Vol 24 (4) ◽  
pp. e330-e334 ◽  
Author(s):  
Antonio Romano ◽  
Carolina Sbordone ◽  
Giorgio Iaconetta ◽  
Marco Friscia ◽  
Luigi Califano
Keyword(s):  
Pedicled Flap ◽  
Pectoralis Major

scholarly journals Galactorrhoea of the neck following pectoralis major reconstruction of a pharyngeal defect

2017 ◽  
Vol 99 (1) ◽  
pp. e38-e39 ◽  
Author(s):  
GAC Wheble ◽  
KJ Taylor ◽  
M Potter
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Myocutaneous Flap ◽  
Pectoralis Major ◽  
Aerodigestive Tract ◽  
Pectoralis Major Myocutaneous Flap ◽  
Cutaneous Fistula ◽  
Important Complication ◽  
Pharyngeal Defect

We describe a case of postoperative galactorrhea following the use of a pedicled pectoralis major myocutaneous flap for reconstruction of a pharyngolaryngeal defect in a woman with squamous cell carcinoma. We believe this to be unique in the literature, and an important complication to be reported, due to the similarities in appearance of galactorrhoea and postoperative aerodigestive tract/cutaneous fistula.

The free vascularized flap and the pectoralis major pedicled flap options: Comparative results of reconstruction of the tongue

Oral Oncology ◽  
2009 ◽  
Vol 45 (12) ◽  
pp. 1028-1031 ◽  
Author(s):  
Y. Mallet ◽  
S. El Bedoui ◽  
N. Penel ◽  
J. Ton Van ◽  
C. Fournier ◽  
...  
Keyword(s):  
Pedicled Flap ◽  
Pectoralis Major ◽  
Comparative Results

Comparison between free flap and pectoralis major pedicled flap for reconstruction in oral cavity cancer patients – A quality of life analysis

Oral Oncology ◽  
2011 ◽  
Vol 47 (6) ◽  
pp. 522-527 ◽  
Author(s):  
Chih-Yu Hsing ◽  
Yong-Kie Wong ◽  
Ching Ping Wang ◽  
Chen-Chi Wang ◽  
Rong-San Jiang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Oral Cavity ◽  
Cancer Patients ◽  
Free Flap ◽  
Oral Cavity Cancer ◽  
Pedicled Flap ◽  
Pectoralis Major ◽  
Life Analysis

scholarly journals Pectoralis Major Musculocutaneous Flap and Splitthickness Skin Graft for The Reconstruction of Pharyngocutaneous Fistula After Total Laryngeal Resection

1970 ◽  
Vol 1 (4) ◽  
Author(s):  
Parintosa Atmodiwirjo ◽  
Sweety Pribadi
Keyword(s):  
Conservative Management ◽  
Total Laryngectomy ◽  
Wound Dehiscence ◽  
Early Postoperative Period ◽  
Pedicled Flap ◽  
Pectoralis Major ◽  
Musculocutaneous Flap ◽  
Pharyngocutaneous Fistula ◽  
Surgical Closure ◽  
Skin Island

Background: Pharyngocutaneous fistula (PCF) is the most frequent complication in the early postoperative period after total laryngectomy. Most PCF respond well to conservative management, but when it fails and the fistula persists surgical closure in indicated. Patients and Methods: Sixty-five year-old male was consulted to our division following total laryngectomy by the Ear Nose Throat surgeons, with wound dehiscence and pharyngocutaneous fistula. We performed a pectoralis major musculocutaneous flap (PMMCF) to close the fistula after a failed conservative management. The skin island of PMMCF was used as an inner lining to close the laryngeal fistula, the exteriorized muscle part of the "ap was then covered by skin graft.Results: PMMCF is a technically simple and reliable distant musculocutaneous pedicled flap to cover defect on the neck area. The skin island of the flap provided an adequate air-thight cover and successfully closed the laryngeal fistula.Summary: PCF is a problematic complication resulting from the resection of head and neck tumor. Early diagnosis and proper multidisciplinary management is required to prevent further morbidity. PMMCF is a simple, easy to perform and reliable option for closure of PCF.

scholarly journals The Pectoralis Major Myocutaneous Pedicled Flap Revisited

2013 ◽  
Vol 04 (09) ◽  
pp. 380-384 ◽  
Author(s):  
Shinichi Asamura ◽  
Hirohiko Kakizaki ◽  
Kazunori Mori ◽  
Kazuhide Matsunaga ◽  
Wada Mitsuhiro ◽  
...  
Keyword(s):  
Pedicled Flap ◽  
Pectoralis Major
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