Role of Pectoralis Major Myocutaneous Flap in Laryngectomy Surgery: Single Surgeon Experience

Bathula, Samba Siva; Stern, Noah; Ross, Andrew; Patrick, Tyler; Talatala, Edward R

doi:10.7759/cureus.18198

Cited by 2 publications

(1 citation statement)

References 17 publications

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“…In the study conducted by Menach et al [ 19 ], the results suggest that being a former smoker confers a positive risk for laryngeal cancer across all laryngeal subsites, the highest being for supraglottic cancer (OR = 6.7), which is comparable to glottic carcinoma (OR = 6.1) when compared to the controls. Lewis, his team, and other authors demonstrated that the glottis is anatomically the narrowest part of the upper airway, and for that reason, it is more susceptible to the deposition of inhaled carcinogens found in cigarette smoke [ 20 , 21 , 22 , 23 , 24 ]. The delays in the implementation of tobacco preventive measures in countries from Eastern Europe, compared to Western Europe, are mainly responsible for the differences in mortality trends between these areas [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Management of Locally Advanced Laryngeal Cancer—From Risk Factors to Treatment, the Experience of a Tertiary Hospital from Eastern Europe

Cirstea

Berteșteanu

Scăunașu

et al. 2023

IJERPH

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Laryngeal cancer is an important oncological entity in which prognosis depends on the establishment of appropriate preventive and diagnostic measures, especially in high-risk populations. We present a retrospective two-year study (January 2021 to December 2022) with 152 patients diagnosed with laryngeal cancer from a tertiary hospital in Romania. The average age of the patients was 62 years old for both sexes, with a range from 44 to 83 years. The most frequent symptom was dysphonia with or without dyspnea in 142 cases (93.42%), followed by dyspnea alone in nine patients (5.92%) and dysphagia in one case (0.66%). Surgical treatment in this study consisted of partial laryngectomy (CO2 laser transoral tumor ablation, supraglottic horizontal laryngectomy or hemilaryngectomy), or total laryngectomy. The main treatment was total laryngectomy (63%). For the eight patients with initial organ preservation treatment, the average time of recurrence was about two-and-a-half years. For the four patients who underwent a total circular pharyngo-laryngectomy, the upper digestive tract needed to be rebuilt with a salivary bypass tube or with a tubed myocutaneous flap from the major pectoralis muscle. One strong point is characteristic of the study group in gathering patients with advanced stages of laryngeal carcinoma candidates for salvage surgery and extended reconstruction methods. The development of new prevention protocols is mandatory in Eastern European countries.

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Section: Discussionmentioning

confidence: 99%

Management of Locally Advanced Laryngeal Cancer—From Risk Factors to Treatment, the Experience of a Tertiary Hospital from Eastern Europe

Cirstea

Berteșteanu

Scăunașu

et al. 2023

IJERPH

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Pectoralis major flap for pharyngocutaneous fistula after total laryngectomy- two different approaches

Kovacevic,

Milisavljevic,

Kovacevic

2023

VOJNOSANIT PREGL

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Introduction. The reconstruction of large postoperative defects after oncologic surgery of head and neck remains challenging. Regional flaps are considered less expensive reconstructive option compared to free flaps. Pectoralis major flap is one of the most versatile choices for reconstruction of large head and neck defects. Case report. We present technical key points for safe harvesting of pectoralis major flap for two cases in a university affiliated tertiary care medical center. Both patients were male, in their seventh decade. Defect sites were: anterior side of neck and lateral neck region. Flaps were used for pharyngocutaneous fistula after total laryngectomy and irradiation. Donor site was closed primary. Both flaps healed primarily without complications. Conclusion. Pectoralis major flap has constant vascular pedicle and can successfully be used for reconstruction of large head and neck defects. Operative technique must be meticulous for obtaining absolute flap survival.

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Role of Pectoralis Major Myocutaneous Flap in Laryngectomy Surgery: Single Surgeon Experience

Abstract: Bathula et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Cited by 2 publications

References 17 publications

Management of Locally Advanced Laryngeal Cancer—From Risk Factors to Treatment, the Experience of a Tertiary Hospital from Eastern Europe

Management of Locally Advanced Laryngeal Cancer—From Risk Factors to Treatment, the Experience of a Tertiary Hospital from Eastern Europe

Pectoralis major flap for pharyngocutaneous fistula after total laryngectomy- two different approaches

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