PMMC Patch Pharyngoplasty Reconstruction After Laryngectomy: Our Experience at a Regional Cancer Institute

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• 作者：Kamal Kishor Lakhera ; Ashok M. Shenoy…
• 关键词：Laryngectomy ; PMMC patch pharnygoplasty ; Pharyngocutaneous fistula
• 刊名：Indian Journal of Otolaryngology and Head & Neck Surgery
• 出版年：2015
• 出版时间：June 2015
• 年：2015
• 卷：67
• 期：2
• 页码：170-172
• 全文大小：310 KB
• 参考文献：1.Welkoborsky HJ, Deichmüller C, Bauer L, Hinni ML (2013) Reconstruction of large pharyngeal defects with microvascular free flaps and myocutaneous pedicled flaps. Curr Opin Otolaryngol Head Neck Surg 21(4):318-27PubMed
  2.Clark JR, Gilbert R, Irish J, Brown D, Neligan P, Gullane PJ (2009) Morbidity after flap reconstruction of hypopharyngeal defects. J Egypt Natl Canc Inst 21(1):23-2
  3.Ariyan S (1979) The pectoralis major myocutaneous flap. A versatile flap for reconstruction in the head and neck. Plast Reconstr Surg 63:73-1PubMed View Article
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  5.Spriano G, Pellini R, Roselli R (2002) Pectoralis major myocutaneous flap for hypopharyngeal reconstruction. Plast Reconstr Surg 110:1408-413 discussion 1414-416PubMed View Article
  6.Piazza C, Taglietti V, Nicolai P (2012) Reconstructive options after total laryngectomy with subtotal or circumferential hypopharyngectomy and cervical esophagectomy. Curr Opin Otolaryngol Head Neck Surg 20(2):77-8PubMed View Article
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• 作者单位：Kamal Kishor Lakhera (1)
  Ashok M. Shenoy (2)
  P. Chavan (2)
  K. Siddappa (2)
  
  1. Department of Surgical Oncology, Kidwai Memorial Institute of Oncology, Bangalore, India
  2. Department of Head and Neck Oncology, Kidwai Memorial Institute of Oncology, Bangalore, India
  
• 刊物主题：Otorhinolaryngology; Head and Neck Surgery;
• 出版者：Springer India
• ISSN：0973-7707

文摘

To evaluate our results of post laryngectomy pharyngeal defect reconstruction by pectoralis major myocutaneous (PMMC) flap. Retrospective analysis of 48 patients who underwent laryngectomy and PMMC patch pharyngeal reconstruction from year 2009 to 2013 was done. Patient and tumor characteristics were noted, CT scan and histopathology reports were reviewed. 46 (95.8?%) patients were male and 2 (4.2?%) were female. Mean age was 57.2?±?8.5?years and mean postoperative stay was 22.6?±?12.0?days. Most common complication was pharyngocutaneous fistula, seen in 13 (27.1?%) cases. Postoperative mortality was low (2.1?%). Post surgery rehabilitation in respect to swallowing and tolerance to radiotherapy was satisfactory in most patients. PMMC patch pharnygoplasty is a reliable option for pharyngeal reconstruction with acceptable complication.