UTILITY OF PECTORALIS MAJOR MYO-CUTANEOUS FLAP FOR RECONSTRUCTION OF HEAD AND NECK DEFECTS IN DEVELOPING COUNTRIES

Dr. Siddhartha Biswas; Dr. Victor Roy

Volume : VIII, Issue : VI, June - 2019

UTILITY OF PECTORALIS MAJOR MYO-CUTANEOUS FLAP FOR RECONSTRUCTION OF HEAD AND NECK DEFECTS IN DEVELOPING COUNTRIES

Dr. Siddhartha Biswas, Dr. Victor Roy

Abstract :

Though free flaps are presently the gold standard for head and neck reconstruction, PMMC flaps still remains a robust versatile pedicled workhorse flap used for a variety of head and neck reconstructions with a comparatively easier learning curve and a shorter operating time to ease the huge workload in our hospitals in a developing country like India. In this article we have reviewed 30 head and neck cancer cases which we had done in the General Surgery department of Medical College Hospital Kolkata in which we have used the PMMC flap as a reconstructive tool for various defects produced after resection of head and neck malignancies. These include buccal mucosal cancers, cancer of the floor of mouth, tongue ,retromolar trigone, lip ,mandible and parotid gland. We did not have even one case of total flap necrosis. However minor complications like partial flap necrosis ,infection, wound dehiscence and oro–cutaneous fistula were present in few of our cases. We thus conclude that PMMC flap is still a good work horse flap for reconstructions of defects created after resection of head and neck malignancies with good functional outcome