Pectoralis Major Myocutaneous Flap in Head and Neck Reconstruction:An institute Experience in 200 Consecutive Cases
Pectoralis Major Myocutaneous Flap in Head and Neck Reconstruction
Keywords:
: Reconstruction, Head and Neck Surgery, PMMC flapAbstract
Introduction : Reconstruction of head and neck defects is a challenging task. That is very important to restore form and function of appearance, speech, swallowing. In 200 patients we have analyzed different aspects following soft tissue reconstruction in respect to reliability of flap versus restoration of form and function. Methods: We retrospectively analyzed 200 patients that received Pectoralis Major Myocutaneous flap (PMMC) as a form of reconstruction, from 2011 to 2018, performed at GCS Medical College and Hospital, Ahmedabad. The total of 200 (n=200) PMMC flap reconstructions were performed. Results: 200 patients were reviewed for study. Most tumors were advanced (T3 or T4a) lesion. 198 reconstructions were done as a primary procedure, and 2 were salvage procedure. PMMC flap was used to cover only mucosal defect in 154 patients, skin and mucosal in 46 patients. Flap related complications were classified. None of the patients had total flap necrosis. 20 patients had infections which resolved by conservative management. Minor complications and donor site complications included fistulas (that were managed conservatively); wound dehiscence (not requiring additional surgery other than resuturing), local infections, seromas, and hematomas. Conclusion: PMMC flap is a workhourse flap with excellent reach to the oral cavity and face and neck region. With limited expertise and resources it is still a primary choice. It lacks in the bulk available after a time period. [Shah G Natl J Integr Res Med, 2019; 10(4):66-69]
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