Combined free flap and pedicled pectoralis major myocutaneous flap in reconstruction of extensive composite defects in head and neck region: a review of 9 consecutive cases.
- Author:
Chi MAO
1
;
Guang-yan YU
;
Xin PENG
;
Lei ZHANG
;
Chuan-bin GUO
;
Min-xian HUANG
Author Information
- Publication Type:Case Reports
- MeSH: Female; Free Tissue Flaps; Head; Head and Neck Neoplasms; surgery; Humans; Male; Middle Aged; Myocutaneous Flap; Neck; Necrosis; Reconstructive Surgical Procedures; Reproducibility of Results; Surgical Flaps
- From: West China Journal of Stomatology 2006;24(1):53-56
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo analyze the value and reliability of combined free flap and pedicled pectoralis major myocutaneous flap in the reconstruction of extensive composite head and neck defects.
METHODSNine consecutive cases of combined free flap and pedicled pectoralis major myocutaneous flap transfers for extensive head and neck defects from March 2002 to April 2005 were reviewed. Data concerning the operation included defect description, type of free flap, recipient vessel and complications.
RESULTSThere were 9 cases in this group, with 7 males and 2 females. Among the 9 free flaps, there were 6 radial forearm flaps, two fibula flaps, and one anterolateral thigh flap. The overall flap survival rate was 100% (all of 18 flaps), without partial or total flap necrosis. One radial forearm flap developed venous thrombosis 24 hours after operation, but salvaged by emergent exploration and reanastomosis of veins. The overall complication rate was 44.4%.
CONCLUSIONIn selected cases, the combined free flap and pedicled pectoralis major myocutaneous flap method provided satisfactory reconstruction for extensive head and neck defect, and simplified the double free flap method.
