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Double Paddle Pectoralis Major Myocutaneous Flap for Simultaneous Reconstruction of Oro-or Pharyngocutaneous Fistula  

Lim Young-Chang (Department of Otorhinolaryngology, Yonsei University College of Medicine)
Son Eun-Jin (Department of Otorhinolaryngology, Yonsei University College of Medicine)
Shin Woo-Chul (Department of Otorhinolaryngology, Yonsei University College of Medicine)
Kim Sang-Cheol (Department of Otorhinolaryngology, Yonsei University College of Medicine)
Lee Wook-Jin (Department of Otorhinolaryngology, Yonsei University College of Medicine)
Choi Eun-Chang (Department of Otorhinolaryngology, Yonsei University College of Medicine)
Publication Information
Korean Journal of Head & Neck Oncology / v.19, no.1, 2003 , pp. 47-51 More about this Journal
Abstract
Background and Objectives: Oro-and pharyngocutaneous fistula after irradiation can lead to extensive wound necrosis and fetal complication such as carotid rutpure. So, there is a need to clean and cover the wound rapidly in these compromised patients. Pectoralis major myocutaneous (PMMC) flap has been presented for reconstruction of complex defects in these irradiated patients. We applied the double paddle PMMC flap for the simultaneous reconstruction of above complex defects and evaluated the it's clinical efficacy. Material and Methods: Retrospective chart review of three cases of simultaneous head and neck reconstruction after irradiation with double paddle PMMC. All patients received prior radiotherpy before development of complications. The double paddle PMMC flap was used for mucosal lining of the oral cavity and epithelial lining of external skin in 2 cases, for mucosal lining of the pharynx and epithelial lining of external skin in 1 case. Results: Considerable complications such as major flap necrosis or fistula did not occur in any of the cases, and simultaneous reconstruction was achieved in all cases without reoperations. Conclusion: Many extended defects such as oro-and pharyngocutaneous fistula involving cover and lining about the head and neck after irradiation can be rehabilitated by the double paddle pectoralis major myocutaneous flap.
Keywords
Pectoralis major myocutaneous flap; Double paddle flap; Head and neck reconstruction;
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