Volume 5, Issue 2, June 2020, Page: 39-42
Outcomes of Pectoralis Major Myocutaneous Flap in the Reconstruction of Head and Neck
Shashidhar Kallappa, Department of Surgical Oncology, Karnataka Institute of Medical Sciences, Hubli, India
Akshatha Shetty Mijar, Department of Otorhinolaryngology, Karnataka Institute of Medical Sciences, Hubli, India
Received: May 24, 2020;       Accepted: Jun. 10, 2020;       Published: Jun. 20, 2020
DOI: 10.11648/j.ijcocr.20200502.15      View  184      Downloads  56
Abstract
Pectoralis major myocutaneous (PMMC) flap is versatile flap used for reconstruction of various head and neck defects created after excision of tumors. Due to the rapid advancement of reconstructive microsurgery, micro vascularised free flap transfer is becoming the main method of head and neck reconstruction. Presently PMMC flap reconstruction is used as an option for salvage surgery post free flap transfer failure and also in patients who are poor candidates for free flap transfer. However in developing countries like India where there are limited resources and the patient’s presents in advanced stage of the disease PMMC flap is a viable option for reconstruction. Aim is to study the outcome of PMMC flap reconstruction in head and neck malignancy. A prospective analysis was done with 20 patients who underwent wide local excision with marginal or hemi mandibulectomy with PMMC flap reconstruction and neck dissection from January 2017 to January 2019 in tertiary care center. Follow up was done for every 2 weeks for first 2 months, then every month for a period of 6 months. Out of all the patients who underwent PMMC flap reconstruction, 2 patients developed partial flap necrosis, 1 had wound dehiscence and fistula and 1 patient had local recurrence. For remaining patients no complications were noted in the follow up period.
Keywords
Head and Neck Reconstruction, PMMC Flap, Complications of PMMC Flap
To cite this article
Shashidhar Kallappa, Akshatha Shetty Mijar, Outcomes of Pectoralis Major Myocutaneous Flap in the Reconstruction of Head and Neck, International Journal of Clinical Oncology and Cancer Research. Vol. 5, No. 2, 2020, pp. 39-42. doi: 10.11648/j.ijcocr.20200502.15
Copyright
Copyright © 2020 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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