title: Primary laryngopharyngeal reconstruction using pectoralis major myocutaneous flaps - Our experience.
abstract: Twenty-one eases of laryngectomy/laryngopharyngectomy that required primary reconstruction with P. M. M. C flaps at the Division of Surgical Oncology, Regional Cancer Centre, Triyandrum were studied retrospectively from July 1995 to December 2090 and compared with the in cases where primary closure of the neopharynx was done.Four of the 21 cases developed post operative pharyngocutaneous fistulae PCF(I9%) which healed Complefely within an average period of I week compared to 4 PCFs (40%) after primary closure. (n=10), where the average healing time was 12.5 days, with I recurrence. The average duration of Onset of fistula was relatively earlier in cases that required primary closure (II days) compared to those cases where P. M. M. C flap was used for reconstruction (12.5 days). All complications were Wound related and managed conservatively.
authors.affiliation: Regional Cancer Centre, Trivandrum, 695011 Kerala, India.
authors.forename: Bipin T
authors.initials: BT
authors.lastname: Varghese
authors.forename: Paul
authors.initials: P
authors.lastname: Sebastian
authors.forename: C M
authors.initials: CM
authors.lastname: Koshy
authors.forename: Iqbal
authors.initials: I
authors.lastname: Ahammed
keywords: P. M. M. C. flaps; laryngopharyngeal reconstruction; pharyngocutaneous fistula