title: Results after U-shaped pectoralis major myocutaneous flap reconstruction of circumferential pharyngeal defects.
abstract: OBJECTIVE
  To evaluate surgical, functional, carcinologic results after circumferential pharyngolaryngectomy and reconstruction with U-shaped pectoralis major myocutaneous flap.
  
  
  METHODS
  Retrospective case series.
  
  
  METHODS
  Forty-one patients included spanning a 6-year period.
  
  
  RESULTS
  General and local complications occurred in 10% and 22% of patients respectively, without early death. Swallowing and vocal functions were satisfactory for 82% and 43% of patients respectively, despite 39% of neopharynx stricture and 22% of pharyngocutaneous fistula. With a 20-month mean follow-up, cancer recurrence was present in 58% of patients. The overall survival rate was 29% at 3 years.
  
  
  CONCLUSIONS
  This flap is simple, reliable, and allows adequate reconstruction of the hypopharynx. However, the neopharynx stricture rate is high and the quality of voice rehabilitation is poor when compared with free flaps. This procedure, which is an option for the reconstruction of circumferential pharyngeal defects, must be considered in selected cases.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, University Hospital of Nantes, France. florent.espitalier@chu-nantes.fr
authors.forename: Florent
authors.initials: F
authors.lastname: Espitalier
authors.forename: Christophe
authors.initials: C
authors.lastname: Ferron
authors.forename: Christophe
authors.initials: C
authors.lastname: Leux
authors.forename: Franck
authors.initials: F
authors.lastname: Jégoux
authors.forename: Nicolas
authors.initials: N
authors.lastname: Durand
authors.forename: Claude
authors.initials: C
authors.lastname: Beauvillain de Montreuil
authors.forename: Olivier
authors.initials: O
authors.lastname: Malard
mesh_terms: D000328:Adult; D000368:Aged; D005500:Follow-Up Studies; D058752:Free Tissue Flaps; D006801:Humans; D007012:Hypopharyngeal Neoplasms / Q000601:surgery; D007013:Hypopharynx / Q000601:surgery*; D007825:Laryngectomy; D008297:Male; D008875:Middle Aged; D010369:Pectoralis Muscles / Q000637:transplantation*; D010611:Pharyngectomy; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D016038:Skin Transplantation / Q000379:methods*; D013997:Time Factors; D016896:Treatment Outcome