Pectoralis major flap for pharyngocutaneous fistula after total laryngectomy- two different approaches
Introduction. The reconstruction of large postoperative defects after oncologic surgery of the head and neck remains challenging. Regional flaps are considered a less expensive reconstructive option compared to free flaps. The pectoralis major flap is one of the most versatile choices for the recons...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Military Health Department, Ministry of Defance, Serbia
2023-01-01
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| Series: | Vojnosanitetski Pregled |
| Subjects: | |
| Online Access: | https://doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502300031K.pdf |
| _version_ | 1797393651959070720 |
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| author | Kovačević Toma Milisavljević Natalija Kovačević Tatjana |
| author_facet | Kovačević Toma Milisavljević Natalija Kovačević Tatjana |
| author_sort | Kovačević Toma |
| collection | DOAJ |
| description | Introduction. The reconstruction of large postoperative defects after oncologic surgery of the head and neck remains challenging. Regional flaps are considered a less expensive reconstructive option compared to free flaps. The pectoralis major flap is one of the most versatile choices for the reconstruction of large head and neck defects. Case report. We present technical key points for safe harvesting of pectoralis major flap for two cases in a university-affiliated tertiary care medical center. Both patients were male, with an average age of 64 years. The defects that required reconstruction in Case 1 were on the lateral neck region and, in Case 2, on the anterior side of the neck. Flaps were used for covering the pharyngocutaneous fistula after total laryngectomy and irradiation. The donor site was closed primarily. Flaps in both patients healed primarily without complications. Conclusion. The pectoralis major flap has a constant vascular pedicle and can successfully be used for the reconstruction of large head and neck defects. In order to obtain absolute flap survival, the operative technique must be impeccable. |
| first_indexed | 2024-03-09T00:06:54Z |
| format | Article |
| id | doaj.art-177c2cd8aa194e43b908eef4e43eb590 |
| institution | Directory Open Access Journal |
| issn | 0042-8450 2406-0720 |
| language | English |
| last_indexed | 2024-03-09T00:06:54Z |
| publishDate | 2023-01-01 |
| publisher | Military Health Department, Ministry of Defance, Serbia |
| record_format | Article |
| series | Vojnosanitetski Pregled |
| spelling | doaj.art-177c2cd8aa194e43b908eef4e43eb5902023-12-12T13:09:41ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502406-07202023-01-01801195595910.2298/VSP230403031K0042-84502300031KPectoralis major flap for pharyngocutaneous fistula after total laryngectomy- two different approachesKovačević Toma0Milisavljević Natalija1Kovačević Tatjana2University Clinical Center Niš, *Clinic for Otorhinolaryngology, Niš, Serbia University of Niš, Faculty of Medicine, Niš, Serbia University Clinical Center Niš, Clinic for Anesthesiology, Reanimatology and Intensive Care, Niš, Serbia Introduction. The reconstruction of large postoperative defects after oncologic surgery of the head and neck remains challenging. Regional flaps are considered a less expensive reconstructive option compared to free flaps. The pectoralis major flap is one of the most versatile choices for the reconstruction of large head and neck defects. Case report. We present technical key points for safe harvesting of pectoralis major flap for two cases in a university-affiliated tertiary care medical center. Both patients were male, with an average age of 64 years. The defects that required reconstruction in Case 1 were on the lateral neck region and, in Case 2, on the anterior side of the neck. Flaps were used for covering the pharyngocutaneous fistula after total laryngectomy and irradiation. The donor site was closed primarily. Flaps in both patients healed primarily without complications. Conclusion. The pectoralis major flap has a constant vascular pedicle and can successfully be used for the reconstruction of large head and neck defects. In order to obtain absolute flap survival, the operative technique must be impeccable.https://doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502300031K.pdffistulahead and neck neoplasmslaryngectomypharynxplastic surgery proceduressurgical flaps |
| spellingShingle | Kovačević Toma Milisavljević Natalija Kovačević Tatjana Pectoralis major flap for pharyngocutaneous fistula after total laryngectomy- two different approaches Vojnosanitetski Pregled fistula head and neck neoplasms laryngectomy pharynx plastic surgery procedures surgical flaps |
| title | Pectoralis major flap for pharyngocutaneous fistula after total laryngectomy- two different approaches |
| title_full | Pectoralis major flap for pharyngocutaneous fistula after total laryngectomy- two different approaches |
| title_fullStr | Pectoralis major flap for pharyngocutaneous fistula after total laryngectomy- two different approaches |
| title_full_unstemmed | Pectoralis major flap for pharyngocutaneous fistula after total laryngectomy- two different approaches |
| title_short | Pectoralis major flap for pharyngocutaneous fistula after total laryngectomy- two different approaches |
| title_sort | pectoralis major flap for pharyngocutaneous fistula after total laryngectomy two different approaches |
| topic | fistula head and neck neoplasms laryngectomy pharynx plastic surgery procedures surgical flaps |
| url | https://doiserbia.nb.rs/img/doi/0042-8450/2023/0042-84502300031K.pdf |
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