| Double Paddle Pectoralis Major Myocutaneous Flap for Simultaneous Reconstruction of Oro-or Pharyngocutaneous Fistula |
|
Young Chang Lim;Eun Jin Son;Woo Chul Shin;Sang Cheol Kim;Wook Jin Lee;Eun Chang Choi |
| 구강 혹은 인두피부루의 동시재건을 위한 양면 대흉근피판술 |
|
임영창;손은진;신우철;김상철;이욱진;최은창 |
|
|
|
|
| Abstract |
Background and Objectives: Oro-and pharyngocutaneous fistula after irradiation can lead to extensive wound necrosis and fetal complication such as carotid rutpure. So, there is a need to clean and cover the wound rapidly in these compromised patients. Pectoralis major myocutaneous (PMMC) flap has been presented for reconstruction of complex defects in these irradiated patients. We applied the double paddle PMMC flap for the simultaneous reconstruction of above complex defects and evaluated the it's clinical efficacy.
Material and Methods: Retrospective chart review of three cases of simultaneous head and neck reconstruction after irradiation with double paddle PMMC. All patients received prior radiotherpy before development of complications. The double paddle PMMC flap was used for mucosal lining of the oral cavity and epithelial lining of external skin in 2 cases, for mucosal lining of the pharynx and epithelial lining of external skin in 1 case.
Results
Considerable complications such as major flap necrosis or fistula did not occur in any of the cases, and simultaneous reconstruction was achieved in all cases without reoperations.
Conclusion
Many extended defects such as oro-and pharyngocutaneous fistula involving cover and lining about the head and neck after irradiation can be rehabilitated by the double paddle pectoralis major myocutaneous flap. |
| Key Words:
Pectoralis major myocutaneous flap, Double paddle flap, Head and neck reconstruction |
PDF Links
Full text via DOI
Download Citation
