Liberal Use of Pectoralis Major Muscle Flap Reduces Incidence of Pharyngocutaneous Fistula Following Salvage Laryngectomy
Year: 2010
Type: article
Abstract: Patients undergoing salvage laryngectomy following chemoradiotherapy are more vulnerable to develop pharyngocutaneous fistula. This is due to fibrosis and reduced vascularity that results in poor postoperative healing. We are presenting a simple technique that can reduce this distressing complication. In patients where primary closure cannot be achieved, myocutaneous flap to reconstruct the pharynx reduces the incidence of postoperative complications. Similarly, buttressing of the suture line with the pectoralis major myofacial flap has been shown to reduce the fistula rates. Needless to say that pectoralis major muscle flap is a robust flap with acceptable complication rates.
Institution: Tata Memorial Hospital
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W2129917141
