1996
DOI: 10.1097/00006534-199607000-00006
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Complications of the Pectoralis Major Myocutaneous Flap in the Oral Cavity: A Prospective Evaluation of 220 Cases

Abstract: A prospective study of 220 consecutive pectoralis major myocutaneous flaps used for oral cavity reconstruction from March of 1990 to February of 1991 showed that 89 patients (40.5 percent) developed flap-related complications and 33 patients (15 percent) had complications unrelated to the flap; 92 patients (42 percent) had an uneventful recovery and there were 6 (2.7 percent) postoperative deaths. Sixty patients (27 percent) developed flap necrosis, of whom only 6 (2.7 percent) had total flap loss. Major parti… Show more

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Cited by 100 publications
(66 citation statements)
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“…Total and partial skin flap necrosis were more frequent (10%). Its incidence in this series was less than in series of Shah et al (1990) who reported 29% of partial flap necrosis and Mehta et al (1996) with 25% of partial flap necrosis. Fistula and dehiscence incidence were as frequent as in the above mentioned papers.…”
Section: Discussioncontrasting
confidence: 61%
“…Total and partial skin flap necrosis were more frequent (10%). Its incidence in this series was less than in series of Shah et al (1990) who reported 29% of partial flap necrosis and Mehta et al (1996) with 25% of partial flap necrosis. Fistula and dehiscence incidence were as frequent as in the above mentioned papers.…”
Section: Discussioncontrasting
confidence: 61%
“…Previous reports have described the risk factors associated with the development of flap complications, such as age, sex, tumor location, site of reconstruction, prior radiotherapy, and comorbidities, large tumor resections, cigarette packs smoked, and salvage procedures [3,15,18,19]. However, results were not similar in all series with some reports describing that complication rates were not associated with age, sex, smoking, preoperative radiotherapy, diabetes, or obesity [2,4,5,12].…”
Section: Discussionmentioning
confidence: 90%
“…Since its first description by Ariyan in 1979 [1], pectoralis major musculocutaneous (PMMC) flap surgery has been a useful technique for head and neck reconstruction [2][3][4][5], the advantages of which include robust size, versatility, and determinate blood supply [6]. However, since the early 1980s, techniques of microvascular surgery have evolved and free tissue transfer has played an important role in reconstructive surgery for advanced head and neck cancers [7].…”
Section: Introductionmentioning
confidence: 99%
“…When the skin paddle is placed too low in the area overlying the rectus abdominis muscle in men or in the inframammary crease in females (Sir Thomas Gillard approach), the blood supply to the skin paddle becomes unreliable [9][10][11][12]. Various authors have described designing the skin paddle in females from parasternal region such as to include minimal amount of breast tissue, better blood supply and little distortion of breast [7,8,13,14].…”
Section: Discussionmentioning
confidence: 99%