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Analysis of the efficacy of the pectoralis major myocutaneous flap in reconstructive head and neck surgery.
Sharma, Arun Parkash; Malik, Junaid; Monga, Seema; Alam, Shamsheer; Rasool, Shahid; Agarwal, Deepti; Bahadur, Sudhir.
Afiliación
  • Sharma AP; Department of Otorhinolaryngology and Head & Neck Surgery, Hamdard Institute of Medical Sciences & Research and HAHC Hospital, Jamia Hamdard University, Hamdard Nagar, Delhi, India.
  • Malik J; Department of Otorhinolaryngology and Head & Neck Surgery, Hamdard Institute of Medical Sciences & Research and HAHC Hospital, Jamia Hamdard University, Hamdard Nagar, Delhi, India.
  • Monga S; Department of Otorhinolaryngology and Head & Neck Surgery, Hamdard Institute of Medical Sciences & Research and HAHC Hospital, Jamia Hamdard University, Hamdard Nagar, Delhi, India. Electronic address: dr.seema.monga@gmail.com.
  • Alam S; Department of Otorhinolaryngology and Head & Neck Surgery, Hamdard Institute of Medical Sciences & Research and HAHC Hospital, Jamia Hamdard University, Hamdard Nagar, Delhi, India.
  • Rasool S; Department of Otorhinolaryngology and Head & Neck Surgery, Hamdard Institute of Medical Sciences & Research and HAHC Hospital, Jamia Hamdard University, Hamdard Nagar, Delhi, India.
  • Agarwal D; Department of Otorhinolaryngology and Head & Neck Surgery, Hamdard Institute of Medical Sciences & Research and HAHC Hospital, Jamia Hamdard University, Hamdard Nagar, Delhi, India.
  • Bahadur S; Department of Otorhinolaryngology and Head & Neck Surgery, Hamdard Institute of Medical Sciences & Research and HAHC Hospital, Jamia Hamdard University, Hamdard Nagar, Delhi, India.
Acta Otorrinolaringol Esp (Engl Ed) ; 2021 Jan 20.
Article en En, Es | MEDLINE | ID: mdl-33485625
INTRODUCTION: Although free flaps have been used predominantly in past decades for the soft tissue reconstruction of head and neck malignancies, Pectoralis major myocutaneous flap (PMMF) is still a reliable workhorse for patients with co-existing co-morbidities or low economic status where free flaps are not feasible. PATIENTS AND METHODS: It was a retrospective study done on 36 patients of head and neck malignancies over the period of 5 years in which PMMF was used as a method of reconstruction in our hospital. Patients were followed up for a period of one year and outcome of PMMF was evaluated. RESULTS: Out of 36 patients 31 were of oral cancer and 5 were of carcinoma hypopharynx. Incidence of total flap necrosis was nil and partial flap necrosis was 16.6%. Orocutaneous fistula was found in 16.6%, wound dehiscence was in 19.4% and infection was found in 13.5% of patients. Non-flap related complications were found in 13.8% of patients. 35 out of 36 patients (97.2%) eventually achieved satisfactory surgical outcome of PMMF reconstruction. CONCLUSION: PMMF is a reliable method of reconstruction for head and neck malignancies especially in basic healthcare settings. With minimal expertise and groundwork, it is still a cost-effective workhorse flap for head and neck reconstruction.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Risk_factors_studies Idioma: En / Es Revista: Acta Otorrinolaringol Esp (Engl Ed) Año: 2021 Tipo del documento: Article País de afiliación: India Pais de publicación: España
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Observational_studies / Risk_factors_studies Idioma: En / Es Revista: Acta Otorrinolaringol Esp (Engl Ed) Año: 2021 Tipo del documento: Article País de afiliación: India Pais de publicación: España