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Compound pharyngeal myocutaneous flap.

M M Goldsmith¹, J C Price

¹Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins Medical Institutions, Baltimore, MD 21205.

Archives of Otolaryngology--Head & Neck Surgery

|November 1, 1988

Summary

Reconstructing large defects after removing tonsil, tongue base, or jaw tumors is challenging. The study highlights the pectoralis major myocutaneous flap as an effective solution for palatal defects.

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Area of Science:

Head and Neck Surgery
Reconstructive Surgery
Oncology

Background:

Major palatal ablative defects pose significant reconstructive challenges.
Defects often result from oncologic resections involving the tonsil, base of tongue, and hemimandible.

Purpose of the Study:

To describe an effective method for palatal reconstruction.
To emphasize the utility of a specific flap for complex defects.

Main Methods:

Utilized a compound medially based posterior pharyngeal, pectoralis major myocutaneous flap.
Applied the technique for palatal reconstruction following ablative surgery.

Main Results:

The pectoralis major myocutaneous flap proved effective in reconstructing major palatal defects.
The flap demonstrated reliability in this challenging surgical scenario.

Conclusions:

The described flap is a viable and dependable option for palatal rehabilitation.
This reconstructive approach addresses complex defects from lateral composite resections.

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