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Enhanced Morbidity of Pectoralis Major Myocutaneous Flap Used for Salvage after Previously Failed Oncological Treatment and Unsuccessful Reconstructive Head and Neck Surgery
Joint Authors
Ribeiro Salles Vanni, Christiana Maria
Garcia Brandão, Lenine
de Matos, Leandro Luongo
Ledo Kanda, Jossi
Pinto, Fábio Roberto
Cernea, Cláudio Roberto
Faro Junior, Mário Paulo
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-05-03
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Natural & Life Sciences (Multidisciplinary)
Medicine
Information Technology and Computer Science
Abstract EN
Introduction.
The reconstruction of complex cervicofacial defects arising from surgical treatment for cancer is a real challenge for head and neck surgeons, especially in salvage reconstruction surgery and/or failed previous reconstruction.
The pectoralis major myocutaneous flap (PMMF) has been widely used in these specific situations due to its reliability and low rate of failure or complications.
Objectives.
Identify factors that determine complications and influence the final outcome of the reconstructions with PMMF in salvage cancer surgery or in salvage reconstruction.
Methods.
A cross-sectional study design was used to evaluate a sample including 17 surgical patients treated over a period of ten years that met the inclusion criteria.
Results.
Reconstruction was successful in 13 cases (76.5%), with two cases of partial flap loss and no case of total loss.
Complications occurred in 13 cases (76.5%) and were specifically related to the flap in nine instances (52.9%).
An association was identified between the development of major complications and reconstruction of the hypopharynx (P=0.013) as well as in patients submitted to surgery in association with radiation therapy as a previous cancer treatment (P=0.002).
The former condition is also associated with major reconstruction failure (P=0.018).
An even lower incidence of major complications was noted in patients under the age of 53 (P=0.044).
Conclusion.
Older patients, with hypopharyngeal defects and submitted to previous surgery plus radiation therapy, presented a higher risk of complications and reconstruction failure with PMMF.
American Psychological Association (APA)
Ribeiro Salles Vanni, Christiana Maria& de Matos, Leandro Luongo& Faro Junior, Mário Paulo& Ledo Kanda, Jossi& Cernea, Cláudio Roberto& Garcia Brandão, Lenine…[et al.]. 2012. Enhanced Morbidity of Pectoralis Major Myocutaneous Flap Used for Salvage after Previously Failed Oncological Treatment and Unsuccessful Reconstructive Head and Neck Surgery. The Scientific World Journal،Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-467825
Modern Language Association (MLA)
Ribeiro Salles Vanni, Christiana Maria…[et al.]. Enhanced Morbidity of Pectoralis Major Myocutaneous Flap Used for Salvage after Previously Failed Oncological Treatment and Unsuccessful Reconstructive Head and Neck Surgery. The Scientific World Journal No. 2012 (2012), pp.1-7.
https://search.emarefa.net/detail/BIM-467825
American Medical Association (AMA)
Ribeiro Salles Vanni, Christiana Maria& de Matos, Leandro Luongo& Faro Junior, Mário Paulo& Ledo Kanda, Jossi& Cernea, Cláudio Roberto& Garcia Brandão, Lenine…[et al.]. Enhanced Morbidity of Pectoralis Major Myocutaneous Flap Used for Salvage after Previously Failed Oncological Treatment and Unsuccessful Reconstructive Head and Neck Surgery. The Scientific World Journal. 2012. Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-467825
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-467825