PMMC Flap Revisited and its Clinical Outcome in 150 Patients.

Autor: Anehosur V; 1Department of Oral and Maxillofacial Surgery, SDM Craniofacial Research Centre, SDM College of Dental Sciences and Hospital, Dharwad, Karnataka 580009 India., Dikhit PS; 2AIIMS, Bhubaneshwar, India.; 3Kidwai Memorial Institute of Oncology, Bangalore, India., Nagraj N; 1Department of Oral and Maxillofacial Surgery, SDM Craniofacial Research Centre, SDM College of Dental Sciences and Hospital, Dharwad, Karnataka 580009 India., Jayade B; 1Department of Oral and Maxillofacial Surgery, SDM Craniofacial Research Centre, SDM College of Dental Sciences and Hospital, Dharwad, Karnataka 580009 India., Kumar N; 4Department of Plastic and Reconstructive Surgery, SDM Craniofacial Research Centre, SDM College of Medical Sciences and Hospital, Dharwad, Karnataka 580009 India.
Jazyk: angličtina
Zdroj: Journal of maxillofacial and oral surgery [J Maxillofac Oral Surg] 2020 Mar; Vol. 19 (1), pp. 26-31. Date of Electronic Publication: 2019 Apr 23.
DOI: 10.1007/s12663-019-01228-7
Abstrakt: Introduction: Pectoralis myocutaneous flap remains the workhorse for the reconstruction of large defects in the head and neck region despite free flaps gaining popularity; because of its drawbacks such as long operating hours, high cost and special skill techniques, it is not used in most of the institutions. Even in our institution, free tissue transfers are carried out on a regular basis, but there is a definite scope and role for PMMC flap in reconstruction. We present our experience with pectoralis major myocutaneous flap in terms of postoperative complications, donor site morbidity, flap survival and long-term healing of the flap.
Materials and Methods: In this study, 150 patients who underwent pectoralis myocutaneous flap reconstruction from 2008 to 2016 were analysed for postoperative complications like donor site morbidity, flap survival and long-term healing of the flap.
Results: On analysis of our data, it was found that the most common complication was wound dehiscence, which was seen in 25 patients(16%), followed by orocutaneous fistula in 15 (10%), wound infection and partial skin margin necrosis, which was seen in a maximum of 12 each(8%), hematoma in 5 (3%), and donor site wound dehiscence in 5 (3%), and there was no case of total flap failure or carotid blowout.
Discussion: We conclude that PMMC flap along with its modifications is the most cost-effective and associated with least complications.
Competing Interests: Conflict of interestAuthors would like to declare there is no funding from institution or commercial company with regard to this study.
(© The Association of Oral and Maxillofacial Surgeons of India 2019.)
Databáze: MEDLINE
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