Outcomes of Pectoralis Major Myocutaneous Flap in the Reconstruction of Head and Neck

Shashidhar Kallappa; Akshatha Shetty Mijar

doi:doi:10.11648/j.ijcocr.20200502.15

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Outcomes of Pectoralis Major Myocutaneous Flap in the Reconstruction of Head and Neck

Shashidhar Kallappa, Akshatha Shetty Mijar

Published in International Journal of Clinical Oncology and Cancer Research (Volume 5, Issue 2)

Received: 24 May 2020 Accepted: 10 June 2020 Published: 20 June 2020

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Abstract

Pectoralis major myocutaneous (PMMC) flap is versatile flap used for reconstruction of various head and neck defects created after excision of tumors. Due to the rapid advancement of reconstructive microsurgery, micro vascularised free flap transfer is becoming the main method of head and neck reconstruction. Presently PMMC flap reconstruction is used as an option for salvage surgery post free flap transfer failure and also in patients who are poor candidates for free flap transfer. However in developing countries like India where there are limited resources and the patient’s presents in advanced stage of the disease PMMC flap is a viable option for reconstruction. Aim is to study the outcome of PMMC flap reconstruction in head and neck malignancy. A prospective analysis was done with 20 patients who underwent wide local excision with marginal or hemi mandibulectomy with PMMC flap reconstruction and neck dissection from January 2017 to January 2019 in tertiary care center. Follow up was done for every 2 weeks for first 2 months, then every month for a period of 6 months. Out of all the patients who underwent PMMC flap reconstruction, 2 patients developed partial flap necrosis, 1 had wound dehiscence and fistula and 1 patient had local recurrence. For remaining patients no complications were noted in the follow up period.

Published in	International Journal of Clinical Oncology and Cancer Research (Volume 5, Issue 2)
DOI	10.11648/j.ijcocr.20200502.15
Page(s)	39-42
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Head and Neck Reconstruction, PMMC Flap, Complications of PMMC Flap

References

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APA Style

Shashidhar Kallappa, Akshatha Shetty Mijar. (2020). Outcomes of Pectoralis Major Myocutaneous Flap in the Reconstruction of Head and Neck. International Journal of Clinical Oncology and Cancer Research, 5(2), 39-42. https://doi.org/10.11648/j.ijcocr.20200502.15

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ACS Style

Shashidhar Kallappa; Akshatha Shetty Mijar. Outcomes of Pectoralis Major Myocutaneous Flap in the Reconstruction of Head and Neck. Int. J. Clin. Oncol. Cancer Res. 2020, 5(2), 39-42. doi: 10.11648/j.ijcocr.20200502.15

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AMA Style

Shashidhar Kallappa, Akshatha Shetty Mijar. Outcomes of Pectoralis Major Myocutaneous Flap in the Reconstruction of Head and Neck. Int J Clin Oncol Cancer Res. 2020;5(2):39-42. doi: 10.11648/j.ijcocr.20200502.15

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@article{10.11648/j.ijcocr.20200502.15,
  author = {Shashidhar Kallappa and Akshatha Shetty Mijar},
  title = {Outcomes of Pectoralis Major Myocutaneous Flap in the Reconstruction of Head and Neck},
  journal = {International Journal of Clinical Oncology and Cancer Research},
  volume = {5},
  number = {2},
  pages = {39-42},
  doi = {10.11648/j.ijcocr.20200502.15},
  url = {https://doi.org/10.11648/j.ijcocr.20200502.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcocr.20200502.15},
  abstract = {Pectoralis major myocutaneous (PMMC) flap is versatile flap used for reconstruction of various head and neck defects created after excision of tumors. Due to the rapid advancement of reconstructive microsurgery, micro vascularised free flap transfer is becoming the main method of head and neck reconstruction. Presently PMMC flap reconstruction is used as an option for salvage surgery post free flap transfer failure and also in patients who are poor candidates for free flap transfer. However in developing countries like India where there are limited resources and the patient’s presents in advanced stage of the disease PMMC flap is a viable option for reconstruction. Aim is to study the outcome of PMMC flap reconstruction in head and neck malignancy. A prospective analysis was done with 20 patients who underwent wide local excision with marginal or hemi mandibulectomy with PMMC flap reconstruction and neck dissection from January 2017 to January 2019 in tertiary care center. Follow up was done for every 2 weeks for first 2 months, then every month for a period of 6 months. Out of all the patients who underwent PMMC flap reconstruction, 2 patients developed partial flap necrosis, 1 had wound dehiscence and fistula and 1 patient had local recurrence. For remaining patients no complications were noted in the follow up period.},
 year = {2020}
}

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TY  - JOUR
T1  - Outcomes of Pectoralis Major Myocutaneous Flap in the Reconstruction of Head and Neck
AU  - Shashidhar Kallappa
AU  - Akshatha Shetty Mijar
Y1  - 2020/06/20
PY  - 2020
N1  - https://doi.org/10.11648/j.ijcocr.20200502.15
DO  - 10.11648/j.ijcocr.20200502.15
T2  - International Journal of Clinical Oncology and Cancer Research
JF  - International Journal of Clinical Oncology and Cancer Research
JO  - International Journal of Clinical Oncology and Cancer Research
SP  - 39
EP  - 42
PB  - Science Publishing Group
SN  - 2578-9511
UR  - https://doi.org/10.11648/j.ijcocr.20200502.15
AB  - Pectoralis major myocutaneous (PMMC) flap is versatile flap used for reconstruction of various head and neck defects created after excision of tumors. Due to the rapid advancement of reconstructive microsurgery, micro vascularised free flap transfer is becoming the main method of head and neck reconstruction. Presently PMMC flap reconstruction is used as an option for salvage surgery post free flap transfer failure and also in patients who are poor candidates for free flap transfer. However in developing countries like India where there are limited resources and the patient’s presents in advanced stage of the disease PMMC flap is a viable option for reconstruction. Aim is to study the outcome of PMMC flap reconstruction in head and neck malignancy. A prospective analysis was done with 20 patients who underwent wide local excision with marginal or hemi mandibulectomy with PMMC flap reconstruction and neck dissection from January 2017 to January 2019 in tertiary care center. Follow up was done for every 2 weeks for first 2 months, then every month for a period of 6 months. Out of all the patients who underwent PMMC flap reconstruction, 2 patients developed partial flap necrosis, 1 had wound dehiscence and fistula and 1 patient had local recurrence. For remaining patients no complications were noted in the follow up period.
VL  - 5
IS  - 2
ER  -

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Author Information

Shashidhar Kallappa

Department of Surgical Oncology, Karnataka Institute of Medical Sciences, Hubli, India
Akshatha Shetty Mijar

Department of Otorhinolaryngology, Karnataka Institute of Medical Sciences, Hubli, India

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Plain Text BibTeX RIS

APA Style

Shashidhar Kallappa, Akshatha Shetty Mijar. (2020). Outcomes of Pectoralis Major Myocutaneous Flap in the Reconstruction of Head and Neck. International Journal of Clinical Oncology and Cancer Research, 5(2), 39-42. https://doi.org/10.11648/j.ijcocr.20200502.15

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ACS Style

Shashidhar Kallappa; Akshatha Shetty Mijar. Outcomes of Pectoralis Major Myocutaneous Flap in the Reconstruction of Head and Neck. Int. J. Clin. Oncol. Cancer Res. 2020, 5(2), 39-42. doi: 10.11648/j.ijcocr.20200502.15

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AMA Style

Shashidhar Kallappa, Akshatha Shetty Mijar. Outcomes of Pectoralis Major Myocutaneous Flap in the Reconstruction of Head and Neck. Int J Clin Oncol Cancer Res. 2020;5(2):39-42. doi: 10.11648/j.ijcocr.20200502.15

Copy | Download

@article{10.11648/j.ijcocr.20200502.15,
  author = {Shashidhar Kallappa and Akshatha Shetty Mijar},
  title = {Outcomes of Pectoralis Major Myocutaneous Flap in the Reconstruction of Head and Neck},
  journal = {International Journal of Clinical Oncology and Cancer Research},
  volume = {5},
  number = {2},
  pages = {39-42},
  doi = {10.11648/j.ijcocr.20200502.15},
  url = {https://doi.org/10.11648/j.ijcocr.20200502.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcocr.20200502.15},
  abstract = {Pectoralis major myocutaneous (PMMC) flap is versatile flap used for reconstruction of various head and neck defects created after excision of tumors. Due to the rapid advancement of reconstructive microsurgery, micro vascularised free flap transfer is becoming the main method of head and neck reconstruction. Presently PMMC flap reconstruction is used as an option for salvage surgery post free flap transfer failure and also in patients who are poor candidates for free flap transfer. However in developing countries like India where there are limited resources and the patient’s presents in advanced stage of the disease PMMC flap is a viable option for reconstruction. Aim is to study the outcome of PMMC flap reconstruction in head and neck malignancy. A prospective analysis was done with 20 patients who underwent wide local excision with marginal or hemi mandibulectomy with PMMC flap reconstruction and neck dissection from January 2017 to January 2019 in tertiary care center. Follow up was done for every 2 weeks for first 2 months, then every month for a period of 6 months. Out of all the patients who underwent PMMC flap reconstruction, 2 patients developed partial flap necrosis, 1 had wound dehiscence and fistula and 1 patient had local recurrence. For remaining patients no complications were noted in the follow up period.},
 year = {2020}
}

Copy | Download

TY  - JOUR
T1  - Outcomes of Pectoralis Major Myocutaneous Flap in the Reconstruction of Head and Neck
AU  - Shashidhar Kallappa
AU  - Akshatha Shetty Mijar
Y1  - 2020/06/20
PY  - 2020
N1  - https://doi.org/10.11648/j.ijcocr.20200502.15
DO  - 10.11648/j.ijcocr.20200502.15
T2  - International Journal of Clinical Oncology and Cancer Research
JF  - International Journal of Clinical Oncology and Cancer Research
JO  - International Journal of Clinical Oncology and Cancer Research
SP  - 39
EP  - 42
PB  - Science Publishing Group
SN  - 2578-9511
UR  - https://doi.org/10.11648/j.ijcocr.20200502.15
AB  - Pectoralis major myocutaneous (PMMC) flap is versatile flap used for reconstruction of various head and neck defects created after excision of tumors. Due to the rapid advancement of reconstructive microsurgery, micro vascularised free flap transfer is becoming the main method of head and neck reconstruction. Presently PMMC flap reconstruction is used as an option for salvage surgery post free flap transfer failure and also in patients who are poor candidates for free flap transfer. However in developing countries like India where there are limited resources and the patient’s presents in advanced stage of the disease PMMC flap is a viable option for reconstruction. Aim is to study the outcome of PMMC flap reconstruction in head and neck malignancy. A prospective analysis was done with 20 patients who underwent wide local excision with marginal or hemi mandibulectomy with PMMC flap reconstruction and neck dissection from January 2017 to January 2019 in tertiary care center. Follow up was done for every 2 weeks for first 2 months, then every month for a period of 6 months. Out of all the patients who underwent PMMC flap reconstruction, 2 patients developed partial flap necrosis, 1 had wound dehiscence and fistula and 1 patient had local recurrence. For remaining patients no complications were noted in the follow up period.
VL  - 5
IS  - 2
ER  -

Copy | Download