title: Pectoralis major myocutaneous flap for reconstruction of defects following resections in head and neck area.
abstract: Pectoralis major myocutaneous flap (PMMF) has become the standard for reconstruction of major defects in head and neck area. Eleven cases, operated over a three year period, in which PMMF was used for reconstruction have been reviewed retrospectively. Nine patients had oral squamous cell carcinoma, one had a basal cell carcinoma of the external ear and one had lost skin and soft tissue of neck following synergistic gangrene. Ten of the eleven flaps survived (success rate 91%). One of the three rib grafts used to reconstruct mandible got infected and had to be removed. Three patients developed wound infections and one had a temporary orocutaneous fistula which closed spontaneously. This brief experience confirms the reliability and efficiency of PMMF for head and neck reconstruction.
authors.affiliation: Department of Surgery, King Saud University, College of Medicine, Abha, Saudi Arabia.
authors.forename: M A
authors.initials: MA
authors.lastname: Cheema
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002280:Basal Cell Carcinoma / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D005145:Face / Q000601:surgery*; D005260:Female; D005734:Gangrene / Q000601:surgery; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009333:Neck / Q000601:surgery*; D010369:Pectoralis Muscles / Q000637:transplantation*; D012189:Retrospective Studies; D013518:Surgery, Plastic / Q000379:methods; D013524:Surgical Flaps / Q000379:methods