International Journal of Clinical Oncology and Cancer Research

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

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.

DOI 10.11648/j.ijcocr.20200502.15
Published in International Journal of Clinical Oncology and Cancer Research (Volume 5, Issue 2, June 2020)
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), 2024. Published by Science Publishing Group

Keywords

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

References
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[2] El-Marakby HH. The reliability of pectoralis major myocutaneous flap in head and neck reconstruction. J Egypt Natl Canc Inst. 2006.
[3] Kanno T, Nariai Y, Tatsumi H, Karino M, Yoshino A, Sekine J. A modified pectoralis major myocutaneous flap technique with improved vascular supply and an extended rotation arc for oral defects: A case report. Oncol Lett. 2015.
[4] Ariyan S. The pectoralis major myocutaneous flap: A versatile flap for reconstruction in the head and neck. Plast Reconstr Surg. 1979.
[5] Rikimaru H, Kiyokawa K, Inoue Y, Tai Y. Three-dimensional anatomical vascular distribution in the pectoralis major myocutaneous flap. Plast Reconstr Surg. 2005.
[6] Liu HL, Chan JYW, Wei WI. The changing role of pectoralis major flap in head and neck reconstruction. Eur Arch Oto-Rhino-Laryngology. 2010;
[7] Jena A, Patnayak R, Sharan R, Reddy SK, Manilal B, Rao LMC. Outcomes of pectoralis major myocutaneous flap in female patients for oral cavity defect reconstruction. J Oral Maxillofac Surg. 2014.
[8] Lekawale DH, Patil DB. Pectoralis Major Myocutaneous Flap for Oral Cavity Cancer Reconstruction - Our Experience with 30 Cases. Indian J Appl Res. 2011.
[9] Rahman QB, Karmakar R, Kumar S. Thoracoacromial Vessel Based Pectoralis Major Myocutaneous Flap in Oral and Maxillofacial Soft Tissue Defect Reconstruction. Anwer Khan Mod Med Coll J. 2012.
[10] Amin MM, Naseer U, Akhtar A, Awan AA. Pectoralis Major Myocutaneous Flap for Reconstruction of Major Neck Defects. Journal of Surgery Pakistan. 2014; 19 (2).
[11] Sathyanarayan GR, Suresh K P, Prabhu V. Pectoralis Major Myocutaneous (PMMC) Flap for Reconstruction of oro Facial Defect. JIADS. 2011; 2 (2): 76-8.
[12] Schusterman MA, Miller MJ, Reece GP, Kroll SS, Marchi M, Goepfert H. A single center's experience with 308 free flaps for repair of head and neck cancer defects. Plast Reconstr Surg. 1994; 93: 472–8.
[13] Pinto FR, Kanda JL. Delayed pharyngoesophageal reconstruction with combined local and regional flaps: A case report. Ear Nose Throat J. 2011; 90: E20–4.
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[15] Kruse AL, Luebbers HT, Obwegeser JA, Bredell M, Grätz KW. Evaluation of the pectoralis major flap for reconstructive head and neck surgery. Head Neck Oncol. 2011.
[16] Saito A, Minakawa H, Saito N, Nagahashi T. Indications and outcomes for pedicled pectoralis major myocutaneous flaps at a primary microvascular head and neck reconstructive center. Mod Plast Surg 2012; 2: 103-7.
[17] Milenović A, Virag M, Uglešić V, Aljinović-Ratković N. The pectoralis major flap in head and neck reconstruction: First 500 patients. J Cranio-Maxillofacial Surg. 2006.
[18] Sagayaraj A, Deo RP, Azeem Mohiyuddin SM, Oommen Modayil G. Island Pectoralis Major Myocutaneous Flap: An Indian Perspective. Indian J Otolaryngol Head Neck Surg. 2012.
[19] Castelli ML, Pecorari G, Succo G, Bena A, Andreis M, Sartoris A. Pectoralis major myocutaneous flap: a0 nalysis of complications in difficult patients. Eur Arch Otorhinolaryngol 2001; 258: 542-5.
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[22] Brusati R, Collini M, Bozzetti A, Chiapasco M, Galioto S. The pectoralis major myocutaneous flap. Experience in 100 consecutive cases. J Craniomaxillofac Surg 1988; 16: 35-9.
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Author Information
  • Department of Surgical Oncology, Karnataka Institute of Medical Sciences, Hubli, India

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

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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://download.sciencepg.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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    T1  - Outcomes of Pectoralis Major Myocutaneous Flap in the Reconstruction of Head and Neck
    AU  - Shashidhar Kallappa
    AU  - Akshatha Shetty Mijar
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    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
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    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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