Skip to main content
Log in

PMMC Patch Pharyngoplasty Reconstruction After Laryngectomy: Our Experience at a Regional Cancer Institute

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

    We’re sorry, something doesn't seem to be working properly.

    Please try refreshing the page. If that doesn't work, please contact support so we can address the problem.

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.

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

Access this article

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

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Welkoborsky HJ, Deichmüller C, Bauer L, Hinni ML (2013) Reconstruction of large pharyngeal defects with microvascular free flaps and myocutaneous pedicled flaps. Curr Opin Otolaryngol Head Neck Surg 21(4):318–327

    PubMed  Google Scholar 

  2. Clark JR, Gilbert R, Irish J, Brown D, Neligan P, Gullane PJ (2009) Morbidity after flap reconstruction of hypopharyngeal defects. J Egypt Natl Canc Inst 21(1):23–32

    Google Scholar 

  3. Ariyan S (1979) The pectoralis major myocutaneous flap. A versatile flap for reconstruction in the head and neck. Plast Reconstr Surg 63:73–81

    Article  CAS  PubMed  Google Scholar 

  4. Okamura H, Inaki S, Mori T (1991) Swallowing function following hypopharyngeal reconstruction with the pectoralis major musculocutaneous flap. Auris Nasus Larynx 18(4):383–389

    Article  CAS  PubMed  Google Scholar 

  5. Spriano G, Pellini R, Roselli R (2002) Pectoralis major myocutaneous flap for hypopharyngeal reconstruction. Plast Reconstr Surg 110:1408–1413 discussion 1414–1416

    Article  PubMed  Google Scholar 

  6. Piazza C, Taglietti V, Nicolai P (2012) Reconstructive options after total laryngectomy with subtotal or circumferential hypopharyngectomy and cervical esophagectomy. Curr Opin Otolaryngol Head Neck Surg 20(2):77–88

    Article  PubMed  Google Scholar 

  7. Carlson GW, Schusterman MA, Guillamondegui OM (1992) Total reconstruction of the hypopharynx and cervical esophagus: a 20-year experience. Ann Plast Surg 29:408–412

    Article  CAS  PubMed  Google Scholar 

  8. Triboulet JP, Mariette C, Chevalier D, Amrouni H (2001) Surgical management of carcinoma of the hypopharynx and cervical esophagus: analysis of 209 cases. Arch Surg 136:1164–1170

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kamal Kishor Lakhera.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lakhera, K.K., Shenoy, A.M., Chavan, P. et al. PMMC Patch Pharyngoplasty Reconstruction After Laryngectomy: Our Experience at a Regional Cancer Institute. Indian J Otolaryngol Head Neck Surg 67, 170–172 (2015). https://doi.org/10.1007/s12070-015-0833-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12070-015-0833-8

Keywords

Navigation