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

Autor:	Bathula SS; Otolaryngology, Michigan State University/Detroit Medical Center, Detroit, USA., Stern NA; Otolaryngology, Detroit Medical Center, Detroit, USA., Ross A; Otolaryngology - Head and Neck Surgery, Detroit Medical Center, Detroit, USA., Patrick T; Otolaryngology, Detroit Medical Center, Detroit, USA., Talatala ER; Otolaryngology - Head and Neck Surgery, Meharry Medical College, Detroit, USA.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2021 Sep 22; Vol. 13 (9), pp. e18198. Date of Electronic Publication: 2021 Sep 22 (Print Publication: 2021).
DOI:	10.7759/cureus.18198
Abstrakt:	Objective To analyze the effectiveness of the pectoralis major myocutaneous (PMMC) flap in preventing pharyngocutaneous fistula (PCF) formation for salvage total laryngectomy patients. Study design Retrospective chart review of all post-surgical laryngectomy patients for a single surgeon. Methods Inclusion criteria were adult patients 18 years and older who were diagnosed with laryngeal cancer and treated with a salvage total laryngectomy. Exclusion criteria were any laryngectomy patient treated without the PMMC flap or those with incomplete medical records. Results A total of 31 patient charts were identified, and 16 remained after exclusion criteria. The patient age range was 42-71 years (mean = 58.19; SD = 8.093). Greater than 85% of patients had T3 and T4 laryngeal cancers. Without PCF group were 13 patients and with PCF group were only three patients. The mean hospital days in without PCF group were 9.54 and in with PCF group were 16.33. Conclusion In this single surgeon's experience, PCF was prevented by using the PMMC flap in salvage total laryngectomy patients. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2021, Bathula et al.)
Databáze:	MEDLINE
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