The Pectoralis Major Island Flap: Short Scar Modified Muscle-Sparing Harvesting Technique Improves Aesthetic Outcome in Reconstructive Head and Neck Surgery

ORL ◽  
2019 ◽  
Vol 81 (5-6) ◽  
pp. 327-337 ◽  
Author(s):  
Tina Rauchenwald ◽  
Daniel Dejaco ◽  
Evi M. Morandi ◽  
Gabriel Djedovic ◽  
Dolores Wolfram ◽  
...  
Keyword(s):  
Head And Neck ◽  
Neck Surgery ◽  
Pectoralis Major ◽  
Head And Neck Surgery ◽  
Island Flap ◽  
Aesthetic Outcome ◽  
Harvesting Technique ◽  
Muscle Sparing ◽  
Short Scar

scholarly journals Evaluation of the pectoralis major flap for reconstructive head and neck surgery

2011 ◽  
Vol 3 (1) ◽  
Author(s):  
Astrid L Kruse ◽  
Heinz T Luebbers ◽  
Joachim A Obwegeser ◽  
Marius Bredell ◽  
Klaus W Grätz
Keyword(s):  
Head And Neck ◽  
Neck Surgery ◽  
Pectoralis Major ◽  
Head And Neck Surgery ◽  
Pectoralis Major Flap

scholarly journals Pectoralis major myocutaneous flap in Head And Neck Surgery reconstructions: critical analysis.

2018 ◽  
Vol 45 (2) ◽  
Author(s):  
MARCELO BENEDITO MENEZES ◽  
KASSEM SAMIR SALEH ◽  
MARIANNE YUMI NAKAI ◽  
LUCAS PORTO MAURITY DIAS ◽  
NORBERTO KODI KAVABATA ◽  
...  
Keyword(s):  
Head And Neck ◽  
Stage Iv ◽  
Data Bank ◽  
Neck Surgery ◽  
Pectoralis Major ◽  
Head And Neck Surgery ◽  
Clinical Staging ◽  
Pectoralis Major Flap ◽  
Major Complications ◽  
Surgery Department

ABSTRACT Objective: to evaluate the results of the use of the pectoralis major flap in the reconstruction of head and neck surgeries. Methods: we conducted a retrospective study with data bank analysis and review of medical records of patients with head and neck cancer operated at the Discipline of Head and Neck Surgery, Surgery Department, São Paulo Holy Home of Mercy, using the pectoralis major flap for reconstruction, in a period of 16 years. We analyzed age, gender, primary site of neoplasia, clinical staging, preoperative radiotherapy (RT) and complications, classified as major and minor. Results: the series comprised 92 patients, of whom 86 (93.5%) were men; the mean age was 61.39 (±11.35) years; the most common primary sites were the mouth, in 35 cases (38%), oropharynx, in 21 (22.8%), and larynx, in 18 cases (19.6%). The majority of patients were in stage IV (88/92, 95.6%) and only four (4.3%) had preoperative RT. The overall complication rate was 48.9%, but only 6.5%, characterized as major complications. In the univariate statistical analysis, we found no factors related to the occurrence of complications. Only the primary neoplasm site presented marginal significance (p = 0.06). Conclusion: the pectoralis major flap is safe, with few complete and effective losses in reconstructions in head and neck surgeries, with low rates of major complications, being an option to be considered.

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