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VOLUME 2 , ISSUE 3 ( September-December, 2010 ) > List of Articles

RESEARCH ARTICLE

Liberal Use of Pectoralis Major Muscle Flap Reduces Incidence of Pharyngocutaneous Fistula Following Salvage Laryngectomy

Chris de Souza, Pankaj Chaturvedi, Shriketan Kale

Keywords : laryngectomy,Pectoralis major myocutaneous flap,pharyngocutaneous fistula

Citation Information : Souza CD, Chaturvedi P, Kale S. Liberal Use of Pectoralis Major Muscle Flap Reduces Incidence of Pharyngocutaneous Fistula Following Salvage Laryngectomy. Int J Otorhinolaryngol Clin 2010; 2 (3):253-255.

DOI: 10.5005/jp-journals-10003-1045

Published Online: 00-12-2010

Copyright Statement:  Copyright © 2010; Jaypee Brothers Medical Publishers (P) Ltd.


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.


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