[Application of pectoralis major flap to reconstruction of massive defects after head and neck tumor excision].
OBJECTIVE
To discuss the effectiveness and advantage of application of pectoralis major flap in the reconstruction of massive defects after head and neck tumor excision.


METHODS
Thirteen patients with head and neck carcinoma underwent tumor excision, and the massive defects were fixed by pectoralis major myocutaneous flap. Ten patients with recurrent laryngeal carcinoma and 2 with hypopharyngeal carcinoma and 1 with thyroid carcinoma were included.


RESULTS
Eleven cases healed well, 1 case appearance fistula of parotid gland, 1 case was lost to follow-up.


CONCLUSIONS
Pectoralis major myocutaneous flap with adequate vascularization, enough tissue and ideal healing ability cab be used to reconstruct massive defects. And so it can play an important role in providing a better life expectancy and can radically cure or relieve the complaint.
Department of Otolaryngology-Head and Neck Surgery, Shanghai First Hospital, Shanghai Jiaotong University, Shanghai, 200080, China.
Qiang
Q
Wang
Pin
P
Dong
Wendong
W
Wang
Guoliang
G
Wang
D000328:Adult; D000368:Aged; D005260:Female; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010369:Pectoralis Muscles / Q000637:transplantation*; D011184:Postoperative Period; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps