Publication details
Pedicled pectoralis major flap in head and neck reconstruction - our experience
| Authors | |
|---|---|
| Year of publication | 2018 |
| Type | Article in Periodical |
| Magazine / Source | Acta chirurgiae plasticae |
| MU Faculty or unit | |
| Citation | |
| Keywords | oral cancer; pedicled pectoralis major flap; pectoralis muscle flap; head and neck reconstruction |
| Description | The pedicled pectoralis major flap was the original workhorse flap for head and neck reconstruction. Over time, it became a secondary choice for oropharyngeal reconstruction with the advent of free-soft tissue transfers. Nowadays a polymorbid patient is primarily indicated for pedicled pectoralis major flap reconstruction, next indications are combinations of pedicled pectoralis major flap with free microvascular flap, salvage reconstruction due to complications, salvage reconstruction due to free flap failure and salvage reconstruction due to recurrent or extended primary disease. Pedicled pectoralis major flap can be successfully used for specific oropharyngeal defects even primary resections especially for less cooperative patients and patients with extensive neck dissection. Improving the flap harvesting techniques can reduce undesired complications in specific cases of oropharyngeal reconstruction. Flap morbidity in these cases remains comparable to morbidity of patients who had undergone the free flap reconstruction. Pedicled pectoralis major flap remains valid reconstruction tool that should be included in armamentarium of each surgeon dealing with the reconstruction of the head and neck. |