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402101

Pectoralis Major Myocutaneous Flap For Reconstruction Of Major Neck Defects Following Surgery For Head And Neck Tumors. A 5-Years Multicenter Experience

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Last updated: 07 Jan 2025

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Abstract

Background: Surgeons have long faced the difficulty of reconstructing head and neck defects following treatments for malignancy. In addition to offering a reconstructive choice of acceptance in terms of color, texture, and advantageous scar position.
Aim of the study was to document the utility and outcomes with the reconstruction of neck defects using Pectoralis Major Myocutaneous Flap (PMMC).
Methodology: The current study included 43 patients who were operated on for neck malignancies where wide composite excision with remaining large defect eligible for reconstruction using PMMC. Follow-up was planned for at least 12 months postoperatively for the post operative complications and aesthetic outcome.
Results: In the current study the mean age of the included patient was 55.63±4.22 Among them 44.2 % presented with salivary gland tumors. The mean operative time was 6.25 ± 0.75 hours with a mean of 5.22 ± 0.67 days hospital stay. The postoperative wound infection was reported in 16.3 % of patients, wound dehiscence in 16.3 % of patients with no reported total flap loss. Partial flap loss was reported in 6 patients (13.95 %). There was a strong positive correlation between patients'evaluation and independent surgeons' assessment (r=0.821).
Conclusion: PMMC flap is a reliable option for the reconstruction of large neck defects. It is easy to be harvested with with minimal postoperative complications and accepted aesthetic outcome.

DOI

10.21608/ejsur.2024.304562.1123

Keywords

Key words: Neck malignancies, PMMC flap, Neck reconstruction

Authors

First Name

Emad

Last Name

Abdelrahman

MiddleName

M

Affiliation

Department of General Surgery, Faculty of Medicine, Benha University

Email

emadsahan301@gmail.com

City

-

Orcid

-

First Name

Mohamed

Last Name

Elshaer

MiddleName

O.

Affiliation

Department of General Surgery, Faculty of Medicine, Benha University

Email

mohamed.elshaer@fmed.bu.edu.eg

City

Benha

Orcid

0000-0003-0545-3909

First Name

Ahmed

Last Name

Sapri

MiddleName

Saaduddin

Affiliation

Department of Oral Surgery, Faculty of Dentistry, Mansoura University

Email

ahmedsaaduddin@mans.edu.eg

City

-

Orcid

-

First Name

Ahmed

Last Name

Shoulah

MiddleName

A

Affiliation

Plastic Surgery Unit, Benha Faculty of Medicine, Benha University

Email

ahmedsho82@yahoo.com

City

-

Orcid

-

First Name

Mohamed

Last Name

Abdelhalim

MiddleName

H.

Affiliation

Plastic Surgery Unit, Benha Faculty of Medicine, Benha University

Email

mohamed.fahmy@fmed.bu.edu.eg

City

-

Orcid

-

First Name

Samir

Last Name

Halawa

MiddleName

M.

Affiliation

Fellowship of oral and maxillofacial Surgery, Benha university Hospital, Egypt

Email

halawa_1969@yahoo.com

City

-

Orcid

-

First Name

Mostafa

Last Name

Sobhy

MiddleName

Gomaa

Affiliation

Otolaryngology Department, Faculty of Medicine, Benha University, Egypt.

Email

mostafaent@gmail.com

City

-

Orcid

-

First Name

Rami

Last Name

Tantawy

MiddleName

F.

Affiliation

Otolaryngology Department, Faculty of Medicine, Benha University, Egypt.

Email

ramiaboelata@gmail.com

City

-

Orcid

-

First Name

Ahmed

Last Name

Abostate

MiddleName

M.

Affiliation

Department of General Surgery, Faculty of Medicine, Benha University

Email

ahmedabostate1@gmail.com

City

Benha

Orcid

-

Volume

44

Article Issue

1

Related Issue

52678

Issue Date

2025-01-01

Receive Date

2024-07-15

Publish Date

2025-01-01

Page Start

36

Page End

42

Print ISSN

1110-1121

Online ISSN

1687-7624

Article File

EJSUR_Volume 44_Issue 1_Pages 36-42.pdf

PDF . 1.5MB

Link

https://ejsur.journals.ekb.eg/article_402101.html

Detail API

http://journals.ekb.eg?_action=service&article_code=402101

Order

402,101

Type

Original Article

Type Code

3,086

Publication Type

Journal

Publication Title

The Egyptian Journal of Surgery

Publication Link

https://ejsur.journals.ekb.eg/

MainTitle

Pectoralis Major Myocutaneous Flap For Reconstruction Of Major Neck Defects Following Surgery For Head And Neck Tumors. A 5-Years Multicenter Experience

Details

Type

Article

Created At

07 Jan 2025