The Pectoralis Major Myofascial Flap for Intraoral and Pharyngeal Reconstruction

Maisie Shindo, Peter D. Costantino, Craig D. Friedman, Harold J. Pelzer, George A. Sisson, Fred J. Bressler

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

The pectoralis myocutaneous flap has been widely used for reconstruction of oral cavity and pharyngeal defects. However, it has several disadvantages, such as chest distortion, hair growth at the reconstructed site, and excessive bulk, all of which can be avoided by the use of the pectoralis myofascial flap. Oral cavities and pharyngeal defects, ranging in size from 4 to 9 cm in largest dimension, in 26 patients were reconstructed with the pectoralis myofascial flap. All but three defects were successfully reconstructed. The surface of the flap was covered by squamous epithelium in 1 month. The flap remained healthy during and after radiotherapy. The pectoralis myofascial flap is ideal for softtissue coverage of small-to medium-size oral cavity and pharyngeal defects. Its major advantages over the pectoralis myocutaneous flap are decreased bulk and improved cosmesis. (Arch Otolaryngol Head Neck Surg. 1992;118:707-711).

Original languageEnglish (US)
Pages (from-to)707-711
Number of pages5
JournalArchives of Otolaryngology - Head and Neck Surgery
Volume118
Issue number7
DOIs
StatePublished - 1992
Externally publishedYes

Fingerprint

Mouth
Myocutaneous Flap
Hair
Radiotherapy
Thorax
Epithelium
Head
Growth

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Surgery

Cite this

The Pectoralis Major Myofascial Flap for Intraoral and Pharyngeal Reconstruction. / Shindo, Maisie; Costantino, Peter D.; Friedman, Craig D.; Pelzer, Harold J.; Sisson, George A.; Bressler, Fred J.

In: Archives of Otolaryngology - Head and Neck Surgery, Vol. 118, No. 7, 1992, p. 707-711.

Research output: Contribution to journalArticle

Shindo, Maisie ; Costantino, Peter D. ; Friedman, Craig D. ; Pelzer, Harold J. ; Sisson, George A. ; Bressler, Fred J. / The Pectoralis Major Myofascial Flap for Intraoral and Pharyngeal Reconstruction. In: Archives of Otolaryngology - Head and Neck Surgery. 1992 ; Vol. 118, No. 7. pp. 707-711.
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