title: [The pectoralis major flap: anatomic basis and indications in head and neck cancer surgery].
abstract: BACKGROUND
  The Pectorals Major Pedicle Flap has been described by ARIYAN in 1979. Authors expound the anatomic basis of this flap and case's experience .
  
  
  METHODS
  The study carried out in the laboratory concerned 14 corpses (11 men and 3 women). Concerning Clinical cases, from January 1st 1994 to December 31st 2003, 26 patients have had a pectoralis major flap in the Otorhinolaryngology and Head and Neck department of the University of Dakar.
  
  
  RESULTS
  The average year was 51 and the sex ratio was 2 women (7.69%)out of 24 men (92.31%). We repaired the pharyngostoma in 20 cases, the oropharynx in 3 cases, the mucosal defect in the mouth in 2 cases and the parotid gland in 1 case. The pectoralis major flap was favourable in 9 cases . We noted 8 cases of partial necrosis and 5 cases of total necrosis. Four (4) cases of death were to be deplored in post operative immediate.
  
  
  CONCLUSIONS
  Reconstruction by pectoralis major flap is scarce in our practice. The improvement of the results goes through the indications choice and the acquisition of more efficient technical stools.
authors.affiliation: Service d'ORL et de Chirurgie Cervico-Faciale du CHU de Dakar. baydiallo@yahoo.fr
authors.forename: B K
authors.initials: BK
authors.lastname: Diallo
authors.forename: S
authors.initials: S
authors.lastname: Toure
authors.forename: A A
authors.initials: AA
authors.lastname: Sankale
authors.forename: A O
authors.initials: AO
authors.lastname: Diallo
authors.forename: A
authors.initials: A
authors.lastname: Tall
authors.forename: J M
authors.initials: JM
authors.lastname: Ndoye
authors.forename: I
authors.initials: I
authors.lastname: Ndiaye
authors.forename: R
authors.initials: R
authors.lastname: Diouf
authors.forename: A
authors.initials: A
authors.lastname: Dia
authors.forename: E M
authors.initials: EM
authors.lastname: Diop
mesh_terms: D002102:Cadaver; D005260:Female; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps