Pedicled pectoralis major flap in head and neck reconstruction - our experience

DVOŘÁK, Zdeněk, Richard PINK, Petr MICHL, Petr HEINZ and Petr TVRDÝ. Pedicled pectoralis major flap in head and neck reconstruction - our experience. Acta chirurgiae plasticae. Praha: Česká lékařská společnost J.E.Purkyně, 2018, vol. 60, No 1, p. 30-34. ISSN 0001-5423.

Basic information

Original name

Pedicled pectoralis major flap in head and neck reconstruction - our experience

Authors

DVOŘÁK, Zdeněk (203 Czech Republic, guarantor, belonging to the institution), Richard PINK, Petr MICHL, Petr HEINZ and Petr TVRDÝ

Edition

Acta chirurgiae plasticae, Praha, Česká lékařská společnost J.E.Purkyně, 2018, 0001-5423

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Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30212 Surgery

Country of publisher

Czech Republic

Confidentiality degree

není předmětem státního či obchodního tajemství

RIV identification code

RIV/00216224:14110/18:00106270

Organization unit

Faculty of Medicine

Keywords in English

oral cancer; pedicled pectoralis major flap; pectoralis muscle flap; head and neck reconstruction

Tags

rivok

Tags

International impact, Reviewed

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Abstract

V originále

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.