Kruse Astrid L, Luebbers Heinz T, Obwegeser Joachim A, Bredell Marius, Grätz Klaus W
Department of Craniomaxillofacial and Oral Surgery, University of Zurich, Switzerland.
Head Neck Oncol. 2011 Feb 27;3:12. doi: 10.1186/1758-3284-3-12.
The pectoralis major myocutaneous flap (PMMF) is a commonly used flap in reconstructive head and neck surgery, but in literature, the flap is also associated with a high incidence of complications in addition to its large bulk. The purpose of the study is the evaluation of the reliability and indication of this flap in reconstructive head and neck surgery.
The records of all patients treated with a PMMF between 1998 and 2009 were systematically reviewed. Data of recipient localization, main indication, and postoperative complications were analyzed.
The male to female ratio was 17:3, with a mean age of 60 years (45-85). Indications in 7 patients were recurrence of a squamous cell carcinoma, in one case an osteoradionecrosis and in 12 cases an untreated squamous cell carcinoma. In 6 male patients (30%), a complication appeared leading to another surgery.
The PMMF is a flap for huge defects in head and neck reconstructive surgery, in particular when a bulky flap is needed in order to cover the carotid artery or reconstructive surgery, but the complication rate should not be underestimated in particular after radiotherapy.
胸大肌肌皮瓣（PMMF）是头颈重建手术中常用的皮瓣，但文献显示，除了体积较大外，该皮瓣还伴有高并发症发生率。本研究的目的是评估该皮瓣在头颈重建手术中的可靠性和适应证。
系统回顾了1998年至2009年间所有接受PMMF治疗的患者记录。分析了受区定位、主要适应证和术后并发症的数据。
男女比例为17:3，平均年龄60岁（45 - 85岁）。7例患者的适应证为鳞状细胞癌复发，1例为放射性骨坏死，12例为未治疗的鳞状细胞癌。6例男性患者（30%）出现并发症，需要再次手术。
PMMF是用于头颈重建手术中巨大缺损的皮瓣，特别是在需要厚实皮瓣覆盖颈动脉或进行重建手术时，但并发症发生率不应被低估，尤其是放疗后。
