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Pectoral major myocutaneous flap in our practice: about 25 cases
Alban Déo Christian Opango1, Zakaria Aziz1, Abdelghafour Jaifi1
1Stomatology and Maxillofacial Surgery Department, Mohammed VI University Hospital, Marrakech 40000, Morocco.
Journal of Surgical Case Reports
|July 9, 2024
Summary
The pectoralis major myocutaneous flap (PMMF) provides a safe and effective method for head and neck reconstruction, particularly in resource-limited settings. This technique remains valuable for oral cavity cancer patients with significant tissue loss.
Area of Science:
- Plastic Surgery
- Oncology
- Reconstructive Surgery
Background:
- The pectoralis major myocutaneous flap (PMMF) was introduced by Ariyan in 1979 for head and neck reconstructions.
- While largely replaced by free flaps in developed nations, PMMF remains a crucial technique in developing countries.
Observation:
- This study presents a series of 25 cases of PMMF reconstruction for advanced oral cavity cancer.
- Patients underwent tumor excision resulting in substantial tissue defects, necessitating reconstruction.
Findings:
- The pectoralis major myocutaneous flap (PMMF) demonstrated reliability and effectiveness in reconstructing significant tissue loss following oral cancer surgery.
- The flap's advantages include ease of harvesting, proven viability, and minimal instrumentation needs, making it suitable for various settings.
Implications:
- Pectoralis major myocutaneous flap (PMMF) reconstruction remains a vital option for managing complex defects in oral cancer patients, especially where advanced reconstructive options are limited.
- The continued utility of PMMF highlights its adaptability and cost-effectiveness in diverse healthcare environments.
