Comparison of single folded pectoralis major myocutaneous flap(PMMC) with dual PMMC and deltopectoral flaps for reconstruction in locally advanced head and neck cancer.

Dr. Himanshu Patidar; Dr. Sanjay Desai; Dr. Deepak Agrawal

Volume : VII, Issue : IV, April - 2018

Comparison of single folded pectoralis major myocutaneous flap(PMMC) with dual PMMC and deltopectoral flaps for reconstruction in locally advanced head and neck cancer.

Dr. Himanshu Patidar, Dr. Sanjay Desai, Dr. Deepak Agrawal

Abstract :

Aim: The aim of the study is to compare the single Folded Pectoralis major myocutaneousflap(PMMC) flap and dual PMMC and deltopectoral flaps (DP)in the patients with advanced oral malignancy requiring full thickness cheek excision.

Material and methods: This was a prospective study undertaken on patient of full thickness cheek tissue defect (having both skin and mucosal defect)after resection of the tumor. A total of 51 patients were included. After resection, the resultant defect was covered with either single folded pectoralis major myocutaneous flap or dual PMMC and deltopectoral flaps. Outcomes were analyzed in detail.

Results: Number of the patients who developed flap rejection and suture line coaptation defect at the recipient site was same in both the groups. Development of oro–cutaneous fistula post operatively was seen more with the folded PMMC flap (2 patients) whereas collection of serous fluid between flap and overlying skin was more with dual flap group. Flap rejection was the only major complication seen in one patient of each group.

Conclusion: Free flaps are the gold standard for the reconstruction of the locally advanced oral malignancy, but the PMMC and DP flap can be used in various ways for the same purpose whenever the logistics do not favor free flaps.