Skip to main content
SpringerLink
Log in

Versatility of Pectoralis Major Myocutaneous Flap in Oncosurgery and Its Role in Developing Countries

  • Original Article
  • Published:
Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

The objective of this study was to assess the versatility of pectoralis major myocutaneous (PMMC) flap in the reconstruction of diverse surgical defects following resection of various head and neck malignancies. We performed retrospective analysis of patients in whom PMMC was used to reconstruct head and neck surgical defects during May 2006 to December 2010. The study was carried out at KLES Dr. Prabhakar kore Hospital & M.R.C, Belgaum and involved 95 patients. The patients were grouped depending on the site of defect reconstructed and were analyzed in detail. Of the 95 patients, between the age group 38 and 62 years, 69 patients were males while 26 patients were females. PMMC was used to reconstruct 59 cases of oral mucosal defect, ten cases of skin defect and 18 cases of simultaneous oral mucosal and outer skin defect. PMMC was also used in two cases of laryngopharyngeal defects and six cases with floor of mouth and tongue defects. No failures were noted in the study during the follow up period. Despite worldwide emphasis on free flaps as gold standard in the reconstruction of tissue defects, institutions in developing countries where financial constraints are encountered or as salvage procedure for free flap failure, PMMC due to its versatility is still considered the workhorse for reconstruction of moderate to large sized head and neck defects.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Sloan SH, Blackwell KE, Harris JR, Genden EM, Urken ML (2003) Reconstruction of major defects in the head and neck following cancer surgery. In: Myers EN (ed) Cancer of the head and neck, 4th edn. Elsevier, Amsterdam

    Google Scholar 

  2. Magee WP, McCaw JB, Horton CE (1980) Pectoralis ‘paddle’ myocutaneous flaps: the workhorse of head and neck reconstruction. Am J Surg 140:507–513

    Article  PubMed  Google Scholar 

  3. Aryan S (1979) The pectoralis major myocutaneous flap. Plast Reconstr Surg 63:73–78

    Article  Google Scholar 

  4. Watkinson JC, Gaze MN, Wilson JA (2000) Reconstruction. Stell and Maran’s head and neck surgery. In: Watkinson JC (ed) Hodder Arnold, London

  5. Schusterman MA, Miller MJ, Reece GP, Kroll SS, Marchi M, Goepfert H (1994) A single center’s experience with 308 free flaps for repair of head and neck cancer defects. Plast Reconstr Surg 93:472–478

    PubMed  CAS  Google Scholar 

  6. Wei WI, Chan YW (2009) Pectoralis major flap. In: Wei FC, Mardini S (eds) Flaps and reconstructive surgeries, 1st edn. Elsevier, Amsterdam

    Google Scholar 

  7. Manders EK (2008) Regional pedicle flap. In: Myers EN (ed) Operative otolaryngology head and neck surgery, 2nd edn. Elsevier, Amsterdam

    Google Scholar 

  8. Vartanian JG, Carvalho AL, Carvlho SM, Mizobe L, Magrin J, Kowalski LP (2004) Pectoralis major and other myofascial/myocutaneous flaps in head and neck cancer reconstruction: experience with 437 cases at a single institution. Head Neck 26:1018–1023

    Article  PubMed  Google Scholar 

  9. Milenovic A, Virag M, Uglesic V, Aljinovic-Ratkovic N (2006) The pectoralis major flap in head and neck reconstruction: first 500 patients. J Craniomaxillofac Surg 34:340–343

    Article  PubMed  Google Scholar 

  10. Baek SM, Lawson W, Biller HF (1982) An analysis of 133 pectoralis major myocutaneous flaps. Plast Reconstr Surg 69:460–469

  11. Gardiner LJ, Ariyan S, Pillsbury HC (1983) Myocutaneous flaps for challenging problems in head and neck reconstruction. Arch of Otolaryngol Head Neck Surg. 109:396–399

    Article  CAS  Google Scholar 

  12. Coleman JJ (1985) Treatment of the ruptured or exposed carotid artery. South Med J 78:262–267

    Article  PubMed  Google Scholar 

  13. Price JC, Davis RK, Koltai PJ (1985) The pectoralis major myocutaneous flap for salvage of necrotic wounds. Laryngoscope 95:146–150

    Article  PubMed  CAS  Google Scholar 

  14. Leemans CR, Balm AJ, Gregor RT, Hilgers FJ (1995) Management of carotid artery exposure with pectoralis major myofascial flap transfer and split-thickness skin coverage. J Laryngol Otol 109:1176–1180

    Article  PubMed  CAS  Google Scholar 

  15. Su CY, Hwang CF (1993) Near-total laryngopharyngectomy with pectoralis major myocutaneous flap in advanced pyriform carcinoma. J Laryngol Otol 107:817–820

    Article  PubMed  CAS  Google Scholar 

  16. Spriano G, Pellini R, Roselli R (2002) Pectoralis major myocutaneous flap for hypopharyngeal reconstruction. Plast Reconstr Surg 110:1408–1416

    Article  PubMed  Google Scholar 

  17. Jegoux F, Ferron C, Malard O, Espitalier F, Beauvillain de montreuil C (2007) Reconstruction of circumferential pharyngolaryngectomy using a ‘horseshoe-shaped’ pectoralis major myocutaneous flap. J Laryngol Otol 121:483–488

    Google Scholar 

  18. Zou H, Zhang WF, Han QB, Zhao YF (2007) Reconstruction of extensive recurrent oral cancer defects with the pectoralis major myocutaneous flap. J Oral Maxillofac Surg 65:1935–1939

    Article  PubMed  Google Scholar 

  19. Parker DA, Woodhead J, Das Gupta AR (1988) Pectoralis major flaps: functional aspects of the repair of oral and oropharyngeal resections. J Laryngol Otol 102:509–512

    Article  PubMed  CAS  Google Scholar 

  20. Ahmad QG, Navadgi S, Agarwal R, Kanhere H, Shetty KP, Prasad R (2006) Bipaddle pectoralis major myocutaneous flap in reconstructing full thickness defects of cheek a review of 47 cases. J Plast Reconstr Aesthet Surg 59:166–173

    Article  PubMed  Google Scholar 

  21. Chaturvedi P, Pai PS, Pathak KA, Chaukar DA, Deshpande MS, D’cruz AK (2005) Simultaneous reconstruction of large skin and mucosal defect following head and neck surgery with a single skin paddle pectoralis major myocutaneous flap. J Laryngol Otol 119:303–305

    Article  PubMed  CAS  Google Scholar 

Download references

Conflict of interest

None.

Author information

Authors and Affiliations

  1. Department of Otorhinolaryngology, Head and Neck Surgery, Jawaharlal Nehru Medical College, KLE University, 95/c, Anugraha, Shanti-nagar, M.G. Road, Tilakwadi, Belgaum, 590006, Karnataka, India

    Rajendra B. Metgudmath, Vinita V. Metgudmath, Biswanath Roy & Amal T. Das

  2. Department of General Medicine, Jawaharlal Nehru Medical College, KLE University, Belgaum, Karnataka, India

    Anjali R. Metgudmath

Authors
  1. Rajendra B. Metgudmath
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Anjali R. Metgudmath
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Vinita V. Metgudmath
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Biswanath Roy
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Amal T. Das
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Rajendra B. Metgudmath.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Metgudmath, R.B., Metgudmath, A.R., Metgudmath, V.V. et al. Versatility of Pectoralis Major Myocutaneous Flap in Oncosurgery and Its Role in Developing Countries. Indian J Otolaryngol Head Neck Surg 65 (Suppl 1), 80–84 (2013). https://doi.org/10.1007/s12070-012-0535-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-012-0535-4

Keywords

Search

Navigation