Korean J Otolaryngol-Head Neck Surg.  2005 Jan;48(1):74-77.

Pectoralis Major Musculocutaneous Flap for Reconstruction of Permanent Tracheostoma

• Rho YS
• Kim JH
• Lim JW
• Kim ST
• Chung CH
• Kim EJ

Abstract

BACKGROUND AND OBJECTIVES
Pectoralis major myocutaneous flap has been considered as a "workhorse" of the pedicled flaps for head and neck reconstruction. We introduce several types of PMMC flap for the reconstruction of tracheostoma with surrounding soft tissue defects and evaluate the usefulness of PMMC flap. MATERIALS AND METHOD: We reviewed retrospectively our experience of using 12 PMMC flaps for the reconstruction of tracheostoma between 1997 to 2002. RESULTS: Five patients received semi-lunar type of PMMC flap, 3 patient received doughnut type, 3 received skin graft type and 1 received mixed type of PMMC flap for the reconstruction of tracheostoma. There was no total necrosis of flap but, 1 case have had marginal necrosis. No other complications were noted. CONCLUSION: The PMMC flap is a safe and convenient method for reconstruction of the permanent tracheostoma with surrounding soft tissue defect after tracheal resection, superior mediastinal dissection. And several types of PMMC flap design can be used according to the types of stoma and the condition of the defect.

Keyword

Trachea; Stoma; Pectoralis muscle; Reconstruction; Surgical procedure

MeSH Terms

Head
Humans
Myocutaneous Flap*
Neck
Necrosis
Pectoralis Muscles
Retrospective Studies
Skin
Surgical Flaps
Trachea
Transplants