The pectoralis major myofascial flap: Clinical applications in head and neck reconstruction

Paul D. Righi, Edward C. Weisberger, Susan R. Slakes, Jeffrey L. Wilson, Ken A. Kesler, Peter B. Yaw

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Abstract

Purpose: The pectoralis major myofascial (PMMF) flap, a simple variant of the pectoralis major myocutaneous (PMMC) flap, has been underemphasized as a reconstructive method in head and neck surgery. Materials and Methods: In the present study, we review our experience using 18 PMMF flaps for a variety of reconstructive purposes in 15 head and neck cancer patients treated at a tertiary care hospital. Twelve of the study patients were undergoing surgical salvage of a recurrent cancer, and 10 had received previous radiation. Results: The overall rate of flap complications in our series was 22%, and the incidence of major flap complications requiring surgical revision was 11%. Conclusion: In our experience, the use of the PMMF flap for a variety of reconstructive tasks in the head and neck has been associated with a high overall success rate with avoidance of some of the limitations of the PMMC flap.

Original languageEnglish (US)
Pages (from-to)96-101
Number of pages6
JournalAmerican Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume19
Issue number2
DOIs
StatePublished - Jan 1 1998

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ASJC Scopus subject areas

  • Otorhinolaryngology

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