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.
Pectoralis major myocutaneous flap: Analysis of complications in a VA population
โ Scribed by Dr. Robert D. Huang; Dr. Steven M. Silver; Dr. Akhtar Hussain; Dr. Steven M. Parnes; Dr. Paul D. Wing
- Publisher
- John Wiley and Sons
- Year
- 1992
- Tongue
- English
- Weight
- 513 KB
- Volume
- 14
- Category
- Article
- ISSN
- 1043-3074
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โฆ Synopsis
Forty-five cases of head and neck reconstruction with pectoralis major myocutaneous flaps (PMMF) between 1985 and 1990 were analyzed retrospectively for complications. Thirty-two cases were done at the VA Medical Center and 13 at Albany Medical Center, a private university hospital. Total complication rate was 58%. In the VA population, complication rate was 59% as compared to 54% at the Albany Medical Center, which appears statistically not significant. It has been suggested that VA populations tend to have poorer health and socioeconomic status and are more likely to have higher complication rates. This conjecture is not borne out by this study. Complications are described and compared.
๐ SIMILAR VOLUMES
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
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