The role of pectoralis major myofascial flap in salvage laryngectomy: a single surgeon experience

Acta Oto-laryngologica
J C OosthuizenJohn B Kinsella

Abstract

These results support the use of a pectoralis major myofascial flap (PMMF) in patients undergoing salvage surgery. Pharyngocutaneous fistula (PCF) is the most common major complication following laryngectomy. Preceding chemoradiotherapy increases the incidence and severity of PCF formation. The aim of this study was to determine whether the use of a PMMF reduces the incidence and severity of PCF formation in patients undergoing salvage surgery. This was a retrospective cohort analysis. A total of 33 patients were identified, including 10 patients who underwent salvage surgery after chemoradiotherapy. In all, 80% of salvage surgery patients underwent PMMF reinforcement of the pharyngeal closure. A PCF rate of 50% was recorded for salvage surgery patients without PMMF reinforcement. Identical PCF rates (25%) were recorded for patients who underwent primary total laryngectomy and salvage surgery patients treated with PMMF reinforcement. Mean duration to fistula closure was 57.16 days in the primary laryngectomy group compared with 20.5 days in salvage surgery patients with PMMF reinforcement.

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Citations

Apr 25, 2016·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Lukas AnschützRoland Giger
Jun 7, 2016·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·Z HasanF Riffat
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Jan 4, 2017·Clinical and Experimental Otorhinolaryngology·UNKNOWN Korean Society of Thyroid-Head and Neck Surgery Guideline Task ForceKang Dae Lee
Nov 8, 2013·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Kuylhee KimSamuel J Lin
Sep 30, 2020·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Claudia I CabreraMark S Weidenbecher
Jul 24, 2020·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Ovie EdafeSabapathy P Balasubramanian
May 4, 2018·Laryngoscope Investigative Otolaryngology·Sarju S VasaniRobert Hodge
Nov 13, 2019·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Maohua WangChenjie Yu
Jul 10, 2021·Frontiers in Oncology·Erika CrosettiGiovanni Succo

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