RT Journal Article
T1 Pectoralis major myocutaneous flap for faringeal defects reconstruction. Case report
A1 Isabel Sanz-Sanchez, Cristina
A1 Kraemer-Baeza, Else
A1 Flores-Carmona, Eva
A1 Dolores Aguilar-Conde, Maria
A1 Emilio Cazorla-Ramos, Oscar
K1 Pectoralis major
K1 pedicled flap
K1 fistula
K1 laryngectomy
K1 reconstruction
K1 hyperbaric oxygen therapy and complications
K1 Hyperbaric-oxygen therapy
K1 Neck reconstruction
K1 Head
K1 Prevention
K1 Era
AB Introduction: Pharyngocutaneous fistula after total laryngectomy (TL) remains a hardly frequent complication especially after radiotherapy. When conservative measures fail, reconstructive procedures are necessary. Our institution has adopted the pharyngeal interposition graft (PIG) using a pectoralis major myocutaneous flap (PMMC), which has adequate blood flow, for treatment post-irradiation pharyngocutaneous fistula. Description: We present a case-patient with a pharyngocutaneous fistula after TL that requires an externsive reconstruction by PMMC flap and the important role of hyperbaric oxygen therapy in the management of radiation-induced injury. Conclusions: In this era of microvascular reconstruction, the PMMC flap can safely be used for reconstruction of head and neck defects, providing cover to pharyngeal repair following salvage laryngectomy in patients who are high risk for free flaps after organ preservation protocols or patiens with a history of vascular disease.
PB Univ salamanca, ediciones
YR 2021
FD 2021-01-01
LK https://hdl.handle.net/10668/26911
UL https://hdl.handle.net/10668/26911
LA es
DS RISalud
RD Apr 11, 2025