Pectoralis major and other myofascial/myocutaneous flaps in head and neck cancer reconstruction: Experience with 437 cases at a single institution.

Pectoralis major and other myofascial/myocutaneous flaps in head and neck cancer reconstruction: Experience with 437 cases at a single institution. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

Pectoralis major and other myofascial/myocutaneous flaps in head and neck cancer reconstruction: Experience with 437 cases at a single institution. Abstract Text:

Vartanian, Carvalho,Solange Maria T Carvalho,Lia Mizobe, Magrin,Luiz Paulo Kowalski,

BACKGROUND.: Pectoralis major and other myofascial/myocutaneous flaps have been recognized as important reconstructive methods in head and neck cancer surgery. Even with the worldwide use of free flaps, they are still the mainstay reconstructive procedures in many centers. METHODS.: We retrospectively analyzed the records of patients with head and neck cancer who underwent an immediate reconstruction with pectoralis major or other myofascial/myocutaneous flaps at a tertiary cancer center from 1982 to 1998. RESULTS.: A total of 437 patients were reviewed. Three hundred seventy-one patients underwent pectoralis major myocutaneous flaps; of these, 335 (90.3%) were men, with a median age of 56 years (range, 24-91 years). Tumors were located at the oral cavity and oropharynx in 246 patients (66.3%). Most tumors were at an advanced stage at presentation (T3-T4 in 60.9%). The flaps were used to cover mucosal defects in 280 patients (75.5%), skin defects in 62 patients (16.7%), and both in 29 patients (7.8%). In most patients, the flap was transferred to the head and neck region through a subclavicular tunnel. The overall complication rate was 36.1%, with 2.4% of cases involving total flap necrosis. CONCLUSION.: To date, this is the largest published series of patients who underwent reconstruction with a pectoralis major flap. Our results show that this flap remains an important reconstructive method, and it can be done with low risk and acceptable morbidity. (c) 2004 Wiley Periodicals, Inc. Head Neck 26: 1018-1023, 2004.

Pectoralis major and other myofascial/myocutaneous flaps in head and neck cancer reconstruction: Experience with 437 cases at a single institution. Publishing Authors By Initials

JG Vartanian,AL Carvalho,SM Carvalho,L Mizobe,J Magrin,LP Kowalski,

For similar abstracts research abstracts see: abstracts research

PUBMED ID PMID:

MEDLINE DATE:

Pectoralis major and other myofascial/myocutaneous flaps in head and neck cancer reconstruction: Experience with 437 cases at a single institution. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Head & neck

VOLUME: 26

Page Numbers: 1018-23

Journal Abbreviation: Head Neck

ISSN: 1043-3074

DAY: 24

MONTH: Dec

YEAR: 2004

Pectoralis major and other myofascial/myocutaneous flaps in head and neck cancer reconstruction: Experience with 437 cases at a single institution. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 8902541

Pectoralis major and other myofascial/myocutaneous flaps in head and neck cancer reconstruction: Experience with 437 cases at a single institution. Keywords Mesh Terms:

KEYWORDS:

MESH TERMS:

Chemical & Substance for Abstract: Pectoralis major and other myofascial/myocutaneous flaps in head and neck cancer reconstruction: Experience with 437 cases at a single institution. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for Pectoralis major and other myofascial/myocutaneous flaps in head and neck cancer reconstruction: Experience with 437 cases at a single institution.

AFFILIATION: Head and Neck Surgery and Otorhinolaryngology Department, Centro de Tratamento e Pesquisa Hospital do Câncer A. C. Camargo, São Paulo, Brazil.

Country: United States

AGENCY:

GRANT:

ACRONYM:

MEDLINETA: Head Neck

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

Pectoralis major and other myofascial/myocutaneous flaps in head and neck cancer reconstruction: Experience with 437 cases at a single institution Related Publications

• 0.8 /spl mu/m CMOS implementation of weighted-order statistic image filter based on cellular neural network architecture.
• A neural-network approach to nonparametric and robust classification procedures.
• Budd-Chiari syndrome from an advanced practice nurse perspective.
• Difficult questions in difficult situations.
• E-cadherin abnormalities resulting from CPG methylation promoter in metastatic and nonmetastatic oral cancer.
• Electroform replication used for multiple x-ray mirror production.
• Endoscopic stenting of esophageal cancer: the clinical impact.
• Guidelines for asking questions.
• High-performance thin-layer chromatography method for quantitative determination of oenothein B and quercetin glucuronide in aqueous extract of Epilobii angustifolii herba.
• Internal jugular vein preservation in neck dissection for pN1-N2c oral and oropharyngeal carcinoma.
• Is galectin-3 a good method for the detection of malignancy in patients with thyroid nodules and a cytologic diagnosis of "follicular neoplasm"? A critical appraisal of the evidence.
• Juvenile intraoral mucoepidermoid carcinoma.
• MEDICINE IN THE OUT OF DOORS: PROTECTION FROM MISERIES OF COLD AIR AND WIND.
• Patentability issues surrounding antivirals.
• Pectoralis major and other myofascial/myocutaneous flaps in head and neck cancer reconstruction: Experience with 437 cases at a single institution.
• Portal vein thrombosis after laparoscopic gastric bypass.
• Predictive factors for complications in elderly patients who underwent head and neck oncologic surgery.
• Preservation of the internal jugular vein in the radical treatment of node-positive neck-is it safe?
• Prevalence of allergy, patterns of allergic sensitization and allergy risk factors in rural and urban children.
• Risk factors for surgical-site infections in head and neck cancer surgery.
• Sauces and dressings: a review of properties and applications.
• Surgical treatment of paragangliomas of the carotid bifurcation: Results of 36 patients.
• Systemic responses after bronchial aspirin challenge in sensitive patients with asthma.
• TWO ZOONOSES.
• The efficiency assessment of rehabilitation with DBC method in low back pain patients.
• The pilloried medical profession.
• Unusual side effects during disodium cromoglycate (intal) therapy in a case of bronchial asthma (case report).
• Vocal fold immobility after thyroidectomy with intraoperative recurrent laryngeal nerve monitoring.
• [A case of tuberculosis of the middle ear in a 4-year-old child]
• [Value of abdominal compression in the X-ray diagnosis of the esophagus (author's transl)]