<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.2d1 20170631//EN" "JATS-journalpublishing1.dtd">
<ArticleSet>
<Article>
<Journal>
<PublisherName>journal-jmsr</PublisherName>
<JournalTitle>Journal of Medical and Surgical Research</JournalTitle>
<PISSN>I</PISSN>
<EISSN>S</EISSN>
<Volume-Issue>Vol. IV, n 2</Volume-Issue>
<PartNumber/>
<IssueTopic>Multidisciplinary</IssueTopic>
<IssueLanguage>English</IssueLanguage>
<Season>December, 2017</Season>
<SpecialIssue>N</SpecialIssue>
<SupplementaryIssue>N</SupplementaryIssue>
<IssueOA>Y</IssueOA>
<PubDate>
<Year>-0001</Year>
<Month>11</Month>
<Day>30</Day>
</PubDate>
<ArticleType>JMSR Surgery</ArticleType>
<ArticleTitle>Pectoralis Major Regional Flap: An Obsolete or an Indispensable Reconstruction Technique?</ArticleTitle>
<SubTitle/>
<ArticleLanguage>English</ArticleLanguage>
<ArticleOA>Y</ArticleOA>
<FirstPage>446</FirstPage>
<LastPage>450</LastPage>
<AuthorList>
<Author>
<FirstName>F.</FirstName>
<LastName>Musat</LastName>
<AuthorLanguage>English</AuthorLanguage>
<Affiliation/>
<CorrespondingAuthor>N</CorrespondingAuthor>
<ORCID/>
<FirstName>R.</FirstName>
<LastName>Hainarosie</LastName>
<AuthorLanguage>English</AuthorLanguage>
<Affiliation/>
<CorrespondingAuthor>Y</CorrespondingAuthor>
<ORCID/>
<FirstName>C.</FirstName>
<LastName>Pietrosanu</LastName>
<AuthorLanguage>English</AuthorLanguage>
<Affiliation/>
<CorrespondingAuthor>Y</CorrespondingAuthor>
<ORCID/>
<FirstName>S.M.</FirstName>
<LastName>Pituru</LastName>
<AuthorLanguage>English</AuthorLanguage>
<Affiliation/>
<CorrespondingAuthor>Y</CorrespondingAuthor>
<ORCID/>
<FirstName>D.N.</FirstName>
<LastName>Paduraru</LastName>
<AuthorLanguage>English</AuthorLanguage>
<Affiliation/>
<CorrespondingAuthor>Y</CorrespondingAuthor>
<ORCID/>
<FirstName>O.</FirstName>
<LastName>Andronic</LastName>
<AuthorLanguage>English</AuthorLanguage>
<Affiliation/>
<CorrespondingAuthor>Y</CorrespondingAuthor>
<ORCID/>
</Author>
</AuthorList>
<DOI/>
<Abstract>Pectoralis major myocutaneous flap (PMMC) has been used for almost 40 years for the reconstruction of head and neck defects. Since then the technique has been modified and aesthetically and functionally improved expanding the indication of surgical removal of large tumors otherwise inoperable. This review highlights the role pectoralis major pedicled flap plays in the context of free flaps and other modern developments of the technique. Beyond the ethical component and obtaining the informed consent of the patient. There are several factors, which must be taken into account when choosing between a pectoralis major flap and a free flap reconstruction technique: resource constraints, patient co-morbidities, cases of extended neck dissections, of vessel depleted neck or free flap failure, post radiotherapy oro-cutaneous fistula and post chemotherapy residual neck disease. Head and neck tumor risk factors, indications and complications of this type of flap have been reviewed in a contemporary context. In the era of modern reconstruction techniques, pectoralis major flap is still a valid first intention management option, especially but not exclusively in developing countries, and also as salvage procedure in cases of free flap failure.</Abstract>
<AbstractLanguage>English</AbstractLanguage>
<Keywords>Free flaps, Head and neck tumors, Pectoralis major pedicled flap, Reconstruction techniques</Keywords>
<URLs>
<Abstract>https://journal-jmsr.net/ubijournal-v1copy/journals/abstract.php?article_id=4565&title=Pectoralis Major Regional Flap: An Obsolete or an Indispensable Reconstruction Technique?</Abstract>
</URLs>
<References>
<ReferencesarticleTitle>References</ReferencesarticleTitle>
<ReferencesfirstPage>16</ReferencesfirstPage>
<ReferenceslastPage>19</ReferenceslastPage>
<References>Bussu F, Gallus R, Navach V, Bruschini R, Tagliabue M, Almadori G, Paludetti G, Calabrese L. Contemporary role of pectoralis major regional flaps in head and neck surgery. Acta Otorhinolaryngologica Italica. October 2014;34(5):327-41.
MontemariG, Rocco A, Galla S, Damiani V, Bellocchi G. Hypopharynx reconstruction with pectoralis major myofascial flap: our experience in 45 cases. Acta Otorhinolaryngologica Italica. April 2012;32(2):93-7.
International Agency for Research on Cancer [28/03/2017]. Available from: http://eco.iarc.fr/eucan/CancerSearch.aspx.
Mitchell CA, Goldman RA, Curry JM, Cognetti DM, Krein H, Heffelfinger R, Luginbuhl A. Morbidity and Survival in Elderly Patients Undergoing Free Flap Reconstruction: A Retrospective Cohort Study. Otolaryngology-Head and Neck Surgery. July 2017; 157(1):42-47.
El-Marakby HH.The reliability of pectoralis major myocutaneous flap in head and neck reconstruction. Journal of the Egyptian Nat Cancer Inst. March 2006;18(1):41-50.
Kekatpure VD, Trivedi NP, Manjula BV, Mathan Mohan A, Shetkar G, Kuriakose MA. Pectoralis major flap for head and neck reconstruction in era of free flaps. International Journal of Oral and Maxillofacial Surgery.April2012;41:453-457.
Vartanian JG, Carvalho AL, Carvalho SMT, Mizobe L, Magrin J, Kowalski LP. Pectoralis major and other myofascial/myocutaneous flaps in head and neck cancer reconstruction: Experience with 437 cases at a single institution. Head and; Neck. December 2004;26(12):1018-23.
Kroll SS GH, Jones M, Guillamondegui O, Schusterman M. Analysis of complications in 168 pectoralis major myocutaneous flaps used for head and neck reconstruction. Annals of Plastic Surgery. August 1990;25(2):93-7.
Ramakrishnan VR, Yao W, Campana JP. Improved skin paddle survival in pectoralis major myocutaneous flap reconstruction of head and neck defects. Archives of Facial Plastic Surgery. September - October2009;11(5):306-10.
Liu H-L, Chan JY-W, Wei WI. The changing role of pectoralis major flap in head and neck reconstruction. European Archives of Oto-Rhino-Laryngology. November 2010;267(11):1759-63.
Wang C-H, Wong Y-K, Wang C-P, Wang C-C, Jiang R-S, Lai C-S, Liu S-A. Risk factors of recipient site infection in head and neck cancer patients undergoing pectoralis major myocutaneous flap reconstruction. European Archives of Oto-Rhino-Laryngology. November 2015; 272 (11): 3475-82.
Kim B, Kaleem A, Zaid W. Case Reports of Two Unusual Donor Site Complications of the Pectoralis Major Myocutaneous Flap and Literature Review. Journal of Oral and Maxillofacial Surgery.July 2016, 74(7):1504.e1 -.1504.e12.
Nehme F, Nassif I. Hirsute esophagus: An unusual cause of dysphagia. Digestive Endoscopy. January 2017;29(1):122.
Wheble GAC, Taylor KJ, Potter M. Galactorrhoea of the neck following pectoralis major reconstruction of a pharyngeal defect. The Annals of The Royal College of Surgeons of England. January 2017;99(1):38-39.
Mahieu R, Colletti G, Bonomo P, Parrinello G, Iavarone A, Dolivet G, Livi L, Deganello A. Head and neck reconstruction with pedicled flaps in the free flap era. Acta Otorhinolaryngologica Italica. December 2016;36(6):459-468.
Marur S, Forastiere AA. Head and Neck Squamous Cell Carcinoma: Update on Epidemiology, Diagnosis, and Treatment. Mayo Clinic Proceedings. March 2016;91(3):386-396.
Faggons CE, Mabedi C, Shores CG, Gopal S. Review: Head and neck squamous cell carcinoma in sub-Saharan Africa. Malawi Medical Journal. September 2015;27(3):79-87. 18. Joshi P, Dutta S, Chaturvedi P, Nair S. Head and Neck Cancers in Developing Countries.Rambam Maimonides Medical Journal. April 2014;5(2):e0009.</References>
</References>
</Journal>
</Article>
</ArticleSet>