Versatility of pectoralis major myocutaneous flap

Chavan, Kashmira; Reddy, B.P.; Desai, Rupen; Manjunath, S.; Shubhalakshmi, S.; Umashankar, K.V.

doi:10.1016/j.ijom.2007.08.346

Cited by 5 publications

(6 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The technique may not be preferred in vessel-depleted irradiated neck, morbid patients who cannot tolerate prolonged anesthesia or in communities where the extra cost of microvascular surgery is prohibitive [ 10 , 11 ]. Pedicled myocutaneous flaps such as the pectoralis major flap are classic option characterized by technical simplicity and reliable blood supply [ 12 , 13 ]. These flaps are often too bulky, necessitate secondary revisional surgeries and had higher rate of complications especially in female patients [ 14 , 15 ].…”

Section: Discussionmentioning

confidence: 99%

The adequacy of lymph node harvest in concomitant neck block dissection and submental island flap reconstruction for oral squamous cell carcinoma; a case series from a single Egyptian institution

et al. 2015

View full text Add to dashboard Cite

BackgroundSquamous cell carcinoma (SCC) is a fairly common tumor of the oral cavity. This tumor may affect any part of the mucosa of the oral cavity especially the tongue, the floor of the mouth and lips. The encountered intra-oral defects after tumor resection are often large and require climbing up the reconstruction ladder to more complex reconstructive options for accepted functional and cosmetic results to be achieved. However, most of the patients are old with medical co-morbidities requiring fast, simple, less morbid reconstructive option such as local flaps. The myocutaneous submental island flap has emerged as a simple and fast reconstructive technique that provides thin, pliable tissue with adequate volume and reliable blood supply. However, one major concern regarding the utility of the submental flap for repair of post-ablative tumor defects is the presumed interference with adequate lymph node neck dissection.MethodsIn this study, we present a cohort of thirty-six consecutive patients who were operated for oral SCC. All patients were offered submental island flap reconstruction of their resultant defects together with ipsilateral selective neck block dissection of levels I, II, III and IV; and the nodal yield of each level was tested pathologically.ResultsNodal harvest was ≥12 in 88 % of the patients. Complications were encountered in two patients (5.5 %).ConclusionOur data suggest that adequate cervical lymph nodes dissection, specifically level I and II cervical lymph nodes, can be fulfilled with concomitant submental island flap elevation.

show abstract

Section: Discussionmentioning

confidence: 99%

The adequacy of lymph node harvest in concomitant neck block dissection and submental island flap reconstruction for oral squamous cell carcinoma; a case series from a single Egyptian institution

et al. 2015

View full text Add to dashboard Cite

show abstract

“…The use of pedicled myocutaneous flaps is another excellent surgical option, characterized by technical simplicity and good blood supply. 20 21 However, the disadvantages of these flaps are the bulky volume, the requirement of secondary revisional surgeries and a higher rate of complications, especially in female patients. 22 23…”

Section: Discussionmentioning

confidence: 99%

Submental Artery Island Flap in Oral Cavity Reconstruction. An Observational, Retrospective Two-centre Study

Ramírez

Chiesa‐Estomba²,

González-García³

2020

Int Arch Otorhinolaryngol

View full text Add to dashboard Cite

Introduction The submental flap provides an alternative technique in orofacial reconstruction, especially in situations in which free flaps are not available, or the patients are unfit. Objective To demonstrate the oncological safety and benefits of this flap in oral cavity reconstruction. Methods A total of 14 patients with oral cavity cancers, who underwent submental flap reconstruction from January 2016 to January 2018, were included in the study. Results There were 11 male and 3 female patients with a mean age of 66.7 ± 14 (Min: 52/Max: 91) years old. The most common primary tumor site was the mobile tongue in 12 (85.7%) patients. All of the patients underwent ipsilateral selective neck dissection after the flap was harvested. Flap partial necrosis was observed in one patient, and total necrosis in another one. The mean follow-up was of one year. Nonlocal or regional recurrences were observed. Conclusion Submental island flap represents a good option in oral cavity reconstruction in a restricted setting or in patients considered not fit for free flap reconstruction. Preoperative selection of clinically neck node-negative patients is essential due to the potential risk of occult metastasis.

show abstract

“…Use of pectoralis major myocutaneous flap, is another classic surgical option, characterized by technical simplicity and robust blood supply. 21 The disadvantages of this flaps are bulky volume and a higher rate of complications especially in female patients. 22 Nowadays, free flaps such as radial artery forearm flap, anterolateral thigh flap or free fibular osseo-myocutaneous flap (if part of the mandible has sacrificed) have become first choice in the last two decades and are still currently used with great success in reconstructing extensive intra-oral defects.…”

Section: Discussionmentioning

confidence: 99%

Clinical outcome and oncological safety of submental flap for reconstruction in head and neck cancer patients

Mittal¹,

Bhutani²,

Gautam³

et al. 2020

JOOO

View full text Add to dashboard Cite

Background: Submental flap is an axial pattern, myo-cutaneous flap based on submental artery (branch of facial artery). We have used this novel flap for reconstruction of the intra-oral, as well of the lower and mid face defects created after resection of certain intra-oral malignancies. Materials and Methods: This study included 15 patients and done over a period of 3 years. Cases were operated by a team of surgical oncologists using the same technique and under 2.5 x magnifications (loupe). Any nodes in the region were carefully dissected and sent for frozen section for intra-operative verification of presence or absence of microscopic tumor deposits. Evaluation had been done based on the clinical and pathological staging, nodal status as well as the patient outcome. Results: Out of the 15 patients who underwent reconstruction with submental flap, one patient developed total flap loss, whereas one patient had partial flap necrosis. The remaining 13 patients showed decent clinical outcome and the flap uptake was good. In the follow up period of 2 years, two patients developed regional recurrence (none in the flap donor or recipient sites) and 2 developed distant metastasis. Conclusion: Submental flap is an excellent flap for reconstruction of small to medium size defects for intra-oral as well as lower and mid face. It is useful in medically compromised conditions, old age or low socio-economic status of the patient as these factors preclude the use of a free flap. It is oncologically safe for reconstruction and in the absence of clinical or radiological evidence of nodal disease in sub-mental region and may be considered for reconstruction in N0 as well as N1 patients.

show abstract

Versatility of pectoralis major myocutaneous flap

Cited by 5 publications

References 0 publications

The adequacy of lymph node harvest in concomitant neck block dissection and submental island flap reconstruction for oral squamous cell carcinoma; a case series from a single Egyptian institution

The adequacy of lymph node harvest in concomitant neck block dissection and submental island flap reconstruction for oral squamous cell carcinoma; a case series from a single Egyptian institution

Submental Artery Island Flap in Oral Cavity Reconstruction. An Observational, Retrospective Two-centre Study

Clinical outcome and oncological safety of submental flap for reconstruction in head and neck cancer patients

Contact Info

Product

Resources

About