Skip to main content

Pectoralis major flap in the reconstruction after salvage laryngectomy

En

Abstract

Introduction

Patients undergoing salvage surgery are more prone to developing pharyngocutaneous fistulas, the fistula rates reported are as high as 70%.

Aim of the study

The aim of this study was to present our experiences with patients undergoing reconstruction with a pectoralis major flap.

Methods

We describe the surgical steps we employed during the reconstruction after salvage laryngectomy in 14 consecutive patients.

Discussion

This flap will give the patient the advantages of early oral feeding, good tracheostomy care, short hospital stay, and protection against catastrophic vascular blowouts.

References

  1. Hanasono MM, Lin D, Wax MK, Rosenthal EL. Closure of laryngectomy defects in age of the chemoradiation therapy. Head Neck. 2012; 34: 580–588.

    PubMed  Google Scholar 

  2. Paydarfar JA, Birkmeyer NJ. Complications in head and neck surgery: a meta-analysis of post laryngectomy pharyngo-cutaneous fistula. Arch Otolaryngol Head Neck Surg. 2006; 132: 67–72.

    PubMed  Google Scholar 

  3. Sundaram K, Wassermam JM. Prevention of unplanned pharyngo-cutaneous fistula in salvage laryngectomy. Otolaryngol Head Neck Surg. 2009; 141: 645–647.

    PubMed  Google Scholar 

  4. Mathes SJ, Eshima I. The principles of muscle and musculocutaneous flaps. In: McCarthy JG, editor. Plastic surgery. Philadelphia: W.B. Saunders; 1990. pp. 379–386.

    Google Scholar 

  5. Yang D, Marshall G, Morris SF. Variability in the vascularity of the pectoralis major muscle. J Otolaryngol. 2003; 32: 12–15.

    PubMed  Google Scholar 

  6. Patel UA, Keni SP. Pectoralis myofascial flap during salvage laryngectomy prevents pharyngocutaneous fistula. Otolaryngol Head Neck Surg. 2009; 141: 190–195.

    PubMed  Google Scholar 

  7. Smith TJ, Burrage KJ, Ganguly P, Kirby S, Drover C. Prevention of postlaryngectomy pharyngocutaneous fistula: the Memorial University experience. J Otolaryngol. 2003; 32: 222–225.

    PubMed  Google Scholar 

  8. Kroll SS, Evans GRD, Goldberg D, Wang BG, Reece GP, Miller MJ, et al. A comparison of resource costs for head and neck reconstruction with free and pectoralis major flaps. Plast Reconstr Surg. 1997; 99: 1282–1286.

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Magdy A. Riad.

Additional information

Conflicts of interest

There are no conflicts of interest.

Rights and permissions

This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Riad, M.A., Hamdy, T.A., Sabra, R.M.I. et al. Pectoralis major flap in the reconstruction after salvage laryngectomy. Egypt J Otolaryngol 29, 145–148 (2013). https://doi.org/10.7123/01.EJO.0000427392.65551.c5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.7123/01.EJO.0000427392.65551.c5

Keywords