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Experience with the modified pectoralis major myocutaneous flap
M Kasler1, F G Banhidy, Z Trizna
1Department of Head and Neck Surgery, Postgraduate Medical University, Budapest, Hungary.
Archives of Otolaryngology--Head & Neck Surgery
|September 1, 1992
Summary
This study details 75 head and neck tumor reconstructions using modified pectoralis major myocutaneous flaps. The procedure proved safe and versatile, achieving good clinical and functional outcomes for advanced cancer patients.
Area of Science:
- Plastic Surgery
- Head and Neck Oncology
Background:
- Advanced head and neck tumors often require complex reconstructive procedures.
- Pectoralis major myocutaneous flaps are a common option for reconstruction.
Purpose of the Study:
- To evaluate the safety and efficacy of a modified pectoralis major myocutaneous flap for advanced head and neck tumor reconstruction.
- To assess the anatomical course of the thoracoacromial artery and its implications for flap viability.
Main Methods:
- Seventy-five patients with advanced (stages III and IV) head and neck tumors underwent reconstruction.
- Angiographic studies determined the thoracoacromial artery course.
- Pectoralis major muscle mobilization and pedicle reduction techniques were employed.
Main Results:
- Flaps were viable in 70 of 75 evaluable patients.
- Three cases of partial flap necrosis and 13 cases of postoperative fistulas were observed.
- Surgical closure was required for three fistulas.
Conclusions:
- The modified pectoralis major myocutaneous flap is a safe and versatile reconstructive option.
- The procedure yields good clinical and functional results for patients with advanced head and neck tumors.