A consecutive group of 50 patients requiring pectoralis major myocutaneous flap reconstruction after head and neck surgery IS presented. The tissue defects for reconstruction are divided into five groups to identify any defects in which the flap is more likely to be at risk of complication. Other ri
An unusual complication of the pectoralis major myocutaneous flap
β Scribed by Donegan, J. Oliver ;Gluckman, Jack L.
- Publisher
- Wiley (John Wiley & Sons)
- Year
- 1984
- Weight
- 203 KB
- Volume
- 6
- Category
- Article
- ISSN
- 0148-6403
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β¦ Synopsis
The development of myocutaneous flaps has been a major advance in reconstructive surgery of the head and neck. The pectoralis major myocutaneous flap has proven to be the most reliable and versatile for use in this area. There have been several reports of its advantages with few complications noted. This article reports two patients who developed osteomyelitis of the rib in the donor area of the pectoralis major myocutaneous flap. The etiology of this potentially serious complication is discussed and the management is outlined.
π SIMILAR VOLUMES
## Abstract ## Background The pectoralis major myocutaneous flap has a proven track record as a reconstructive tool, but excessive bulk and a limited arc of rotation can be problematic. Although this can be addressed by passing the pedicle deep to the clavicle, some authors consider that this modi
## Abstract ## Background Hypopharyngeal cancer often presents at an advanced stage. Radical surgery has played an important role in the treatment of these cases; however, it always results in a large, or even a circumferential, defect of the pharyngoesophageal segment (PES) that causes some diffi
## Abstract A patient is presented in whom bilateral pectoralis major myocutaneous flaps, one of which was lined by a splitβthickness graft, were used in the total reconstruction of the hypopharynx.
Trauma to the anterior cervical region, whether blunt or penetrating, is life threatening and often causes a major loss of tissue to both the larynx and the trachea. We report our experience in reconstructing the larynx and trachea with the pectoralis major myocutaneous island flap in an unusual cas