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@article{1499256,
author = {Dvořák, Zdeněk and Pink, Richard and Michl, Petr and Heinz, Petr and Tvrdý, Peter and Rink, Richard and Michl, Petr},
article_location = {Praha},
article_number = {1},
keywords = {oral cancer; pedicled pectoralis major flap; pectoralis muscle flap; head and neck reconstruction},
language = {eng},
issn = {0001-5423},
journal = {Acta chirurgiae plasticae},
title = {Pedicled pectoralis major flap in head and neck reconstruction - technique and overview},
volume = {60},
year = {2018}
}
TY - JOUR
ID - 1499256
AU - Dvořák, Zdeněk - Pink, Richard - Michl, Petr - Heinz, Petr - Tvrdý, Peter - Rink, Richard - Michl, Petr
PY - 2018
TI - Pedicled pectoralis major flap in head and neck reconstruction - technique and overview
JF - Acta chirurgiae plasticae
VL - 60
IS - 1
SP - 14-21
EP - 14-21
PB - Česká lékařská společnost J.E.Purkyně
SN - 00015423
KW - oral cancer
KW - pedicled pectoralis major flap
KW - pectoralis muscle flap
KW - head and neck reconstruction
N2 - The pedicled pectoralis major flap was the original workhorse flap for head and neck reconstruction. Over time, it became a secondary choice for oropharyngeal reconstruction with the advent of free-soft tissue transfers. Nowadays a polymorbid patient is primarily indicated for pedicled pectoralis major flap reconstruction, next indications are combinations of pedicled pectoralis major flap with free microvascular flap, salvage reconstruction due to complications, salvage reconstruction due to free flap failure and salvage reconstruction due to recurrent or extended primary disease. Pedicled pectoralis major flap can be successfully used for specific oropharyngeal defects even primary resections especially for less cooperative patients and patients with extensive neck dissection. Improving the flap harvesting techniques can reduce undesired complications in specific cases of oropharyngeal reconstruction. Flap morbidity in these cases remains comparable to morbidity of patients who had undergone the free flap reconstruction. Pedicled pectoralis major flap remains valid reconstruction tool that should be included in armamentarium of each surgeon dealing with the reconstruction of the head and neck.
ER -
DVOŘÁK, Zdeněk, Richard PINK, Petr MICHL, Petr HEINZ and Peter TVRDÝ. Pedicled pectoralis major flap in head and neck reconstruction - technique and overview. \textit{Acta chirurgiae plasticae}. Praha: Česká lékařská společnost J.E.Purkyně, 2018, vol.~60, No~1, p.~14-21. ISSN~0001-5423.
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