Abstract
The aim of this study is to conceive a method of raising an island PMMC flap, so as to circumvent its drawbacks of bulk, flap length and the difficulty of developing this flap in female patients. And to consider island PMMC flap as a viable reconstructive option in head and neck surgeries, especially in peripheral centres. Ours is an experimental case series. The study was done at Sri Devaraj URS Medical college, Tamaka, Kolar. Between 2009 and 2010, head and neck reconstruction was performed using this method in 20 patients who had oral cancer (18), carcinoma supraglottis (1) and mucoepidermoid carcinoma parotid (1). The patients age ranged from 16 to 75 years, and there were 15 women and 5 men. Nineteen of our patients underwent primary surgery and one patient was operated for residual disease. In (16) patient, island pmmc flap was used for intra oral closure. In (4) patients the flap was spiraled for providing skin cover. Four patients developed complications. Three were minor complications of margin necrosis and wound dehiscence, which were managed conservatively. One patient developed orocutaneous fistula, which required secondary suturing. None of our patients had a total necrosis of the flap. Island PMMC flap is still a very useful and viable option for reconstruction in head and neck surgeries, especially in lateral gingivo buccal tumours and other head and neck tumours. In institutions where microvascular expertise is not available, island PMMC flap can be an alternative with results comparable to that of free tissue transfer.
Similar content being viewed by others
References
Ariyan S (1979) The pectoralis major muscle myocutaneous flap. A versatile flap for reconstruction in the head and neck. Plast Reconstr Surg 63:73–81
Kiyokawa Kensuke, Tai Yoshiaki, Tanabe Hiroko Yanaga, Inoue Youjirou, Yamauchi Toshihiko, Rikimaru Hideaki et al (1998) A new method that preserves circulation during preparation of the pectoralis major myocutaneous flap in head and neck reconstruction. Plast Reconstr Surg 102:2336–2345
Wei WI, Lam KH, Wong J (1984) The true pectoralis major myocutaneous island flap: an anatomical study. Br J Plast Surg 37:568–573
Schusterman Mark A, Kroll Stephen S, Weber Randal S, Byers Robert M, Guillamondegui Oscar, Goepfert Helmut (2004) Intraoral soft tissue reconstruction after cancer ablation comparison of the pectoralis major flap and the free radial forearm flap. Am J Surg 162:397–399
Rikimaru Hideaki, Kiyokawa Kensuke, Watanabe Koichi, Koga Noriyuki, Nisshi Yukiko, Sakamoto Aritaka (2009) New method of preparing a pectoralis major myocutaneous flap with a skin paddle that include third intercostals perforating branch of the internal thoracic artery. Plast Reconstr Surg 123:1220–1228
Rikimaru Hideaki, Kiyokawa Kensuke, Inoue Youjirou, Tai Yoshiaki (2005) Three-dimensional anatomica plastic and reconstructive surgery vascular distribution in the pectoralis major myocutaneous flap. Plast Reconstr Surg 115:1342–1352
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Sagayaraj, A., Deo, R.P., Azeem Mohiyuddin, S.M. et al. Island Pectoralis Major Myocutaneous Flap: An Indian Perspective. Indian J Otolaryngol Head Neck Surg 64, 270–274 (2012). https://doi.org/10.1007/s12070-011-0295-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12070-011-0295-6