title: Pectoralis major myofascial flap in salvage laryngectomy.
abstract: OBJECTIVE
  The main purpose of this study was to evaluate the effect of the pectoralis major myofascial flap on pharyngocutaneous fistula formation and time to oral feeding.
  
  
  METHODS
  This retrospective study reviewed 155 total laryngectomies. Patients were divided into two main groups. Group 1 included 110 patients who were treated primarily by total laryngectomy and group 2 comprised 45 patients who were treated by salvage laryngectomy with or without a pectoralis major myofascial flap.
  
  
  RESULTS
  The use of a pectoralis major myofascial flap did not have a significant effect on pharyngocutaneous fistula formation in the salvage group (p = 0.376). When comparing the oral feeding day of patients with pharyngocutaneous fistula, a significant difference was observed between the salvage group with pectoralis major myofascial flap reinforcement and the salvage group without pectoralis major myofascial flap reinforcement (p = 0.004).
  
  
  CONCLUSIONS
  Our study demonstrated that pectoralis major myofascial flap reinforcement did not decrease the rate of pharyngocutaneous fistula formation. Instead, it prevented the formation of large fistulas that would require surgical management, and showed a similar time to oral feeding and length of hospital stay to primary laryngectomy.
authors.affiliation: Department of Otolaryngology,Ankara Oncology Education and Research Hospital,Turkey.
authors.forename: E
authors.initials: E
authors.lastname: Cömert
authors.affiliation: Department of Otolaryngology,Ankara Oncology Education and Research Hospital,Turkey.
authors.forename: Ü
authors.initials: Ü
authors.lastname: Tunçel
authors.affiliation: Department of Otolaryngology,Faculty of Medicine,Erzincan University,Turkey.
authors.forename: M Taner
authors.initials: MT
authors.lastname: Torun
authors.affiliation: Department of Otolaryngology,Faculty of Medicine,Ordu University,Turkey.
authors.forename: C
authors.initials: C
authors.lastname: Kiliç
authors.affiliation: Department of Otolaryngology,Ankara Oncology Education and Research Hospital,Turkey.
authors.forename: A Buğra
authors.initials: AB
authors.lastname: Cengiz
authors.affiliation: Department of Otolaryngology,Ankara Oncology Education and Research Hospital,Turkey.
authors.forename: Z
authors.initials: Z
authors.lastname: Sencan
authors.affiliation: Department of Otolaryngology,Ankara Oncology Education and Research Hospital,Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Kaya
mesh_terms: D000328:Adult; D000368:Aged; D017577:Cutaneous Fistula / Q000517:prevention & control; D005260:Female; D006801:Humans; D007825:Laryngectomy; D008297:Male; D008875:Middle Aged; D010369:Pectoralis Muscles; D010608:Pharyngeal Diseases / Q000517:prevention & control; D016156:Respiratory Tract Fistula / Q000517:prevention & control; D012189:Retrospective Studies; D013524:Surgical Flaps