title: PMMC Patch Pharyngoplasty Reconstruction After Laryngectomy: Our Experience at a Regional Cancer Institute.
abstract: To evaluate our results of post laryngectomy pharyngeal defect reconstruction by pectoralis major myocutaneous (PMMC) flap. Retrospective analysis of 48 patients who underwent laryngectomy and PMMC patch pharyngeal reconstruction from year 2009 to 2013 was done. Patient and tumor characteristics were noted, CT scan and histopathology reports were reviewed. 46 (95.8 %) patients were male and 2 (4.2 %) were female. Mean age was 57.2 ± 8.5 years and mean postoperative stay was 22.6 ± 12.0 days. Most common complication was pharyngocutaneous fistula, seen in 13 (27.1 %) cases. Postoperative mortality was low (2.1 %). Post surgery rehabilitation in respect to swallowing and tolerance to radiotherapy was satisfactory in most patients. PMMC patch pharnygoplasty is a reliable option for pharyngeal reconstruction with acceptable complication.
authors.affiliation: Department of Surgical Oncology, Kidwai Memorial Institute of Oncology, Bangalore, India.
authors.forename: Kamal Kishor
authors.initials: KK
authors.lastname: Lakhera
authors.affiliation: Department of Head and Neck Oncology, Kidwai Memorial Institute of Oncology, Bangalore, India.
authors.forename: Ashok M
authors.initials: AM
authors.lastname: Shenoy
authors.affiliation: Department of Head and Neck Oncology, Kidwai Memorial Institute of Oncology, Bangalore, India.
authors.forename: P
authors.initials: P
authors.lastname: Chavan
authors.affiliation: Department of Head and Neck Oncology, Kidwai Memorial Institute of Oncology, Bangalore, India.
authors.forename: K
authors.initials: K
authors.lastname: Siddappa
keywords: Laryngectomy; PMMC patch pharnygoplasty; Pharyngocutaneous fistula