Clinical Application of Pectoralis Major Myocutaneous Island Flap for Reconstruction of Defects in Head and Neck Tumors
Objective To study clinical application of pectoralis major myocutaneous island flap for reconstruction of defects in head and neck tumors. Methods This paper is to summarize retrospectively the clinical experience of 39 cases since 1988.In these cases, the defects after excision of head and neck carcinoma were immediately repaired. Those were repaired including half tongue body and floor of mouth, partial laryngopharynx and cervical esophagus, pharyngeal fistula on anterior neck skin, parotid area, laryngotracheal stoma and manubrium area. Results Of the 39 cases, myocutaneous island flap fully survived in 36 and there were 3cases of partial necrosis of skin, but the musclar layer was still viable. Follow-up of these patients revealed that survival rates were 69%(27/39) for three years and 26%(10/39) for five years. Conclusion It has the advantage of repairing and reconstructing in a partial defect in head and neck tumors, because pectoralis major myocutaneous island flap is rich blood supply and high success rate.
Pectoralis major myocutaneous island flapHead and neck tumorsReconstructionOperation
NETL
NSTL
万方数据
维普
