Pectoralis Major Musculocutaneous Flap for Reconstruction of Permanent Tracheostoma.
- Author:
Young Soo RHO
1
;
Jin Hwan KIM
;
Jin Woo LIM
;
Seung Tae KIM
;
Chul Hoon CHUNG
;
Eung Jung KIM
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, Hallym University College of Medicine, Seoul, Korea. ys20805@chol.com
- Publication Type:Original Article
- Keywords:
Trachea;
Stoma;
Pectoralis muscle;
Reconstruction;
Surgical procedure
- MeSH:
Head;
Humans;
Myocutaneous Flap*;
Neck;
Necrosis;
Pectoralis Muscles;
Retrospective Studies;
Skin;
Surgical Flaps;
Trachea;
Transplants
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2005;48(1):74-77
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: Pectoralis major myocutaneous flap has been considered as a "workhorse" of the pedicled flaps for head and neck reconstruction. We introduce several types of PMMC flap for the reconstruction of tracheostoma with surrounding soft tissue defects and evaluate the usefulness of PMMC flap. MATERIALS AND METHOD: We reviewed retrospectively our experience of using 12 PMMC flaps for the reconstruction of tracheostoma between 1997 to 2002. RESULTS: Five patients received semi-lunar type of PMMC flap, 3 patient received doughnut type, 3 received skin graft type and 1 received mixed type of PMMC flap for the reconstruction of tracheostoma. There was no total necrosis of flap but, 1 case have had marginal necrosis. No other complications were noted. CONCLUSION: The PMMC flap is a safe and convenient method for reconstruction of the permanent tracheostoma with surrounding soft tissue defect after tracheal resection, superior mediastinal dissection. And several types of PMMC flap design can be used according to the types of stoma and the condition of the defect.
