Romano Antonio, Sbordone Carolina, Iaconetta Giorgio, Friscia Marco, Califano Luigi
Department of Maxillo-Facial Surgery, School of Medicine, University of Naples Federico II, Naples, Italy.
J Craniofac Surg. 2013 Jul;24(4):e330-4. doi: 10.1097/SCS.0b013e31828a7a8f.
The pectoralis major myocutaneous pedicled flap is a commonly used flap for reconstructive head and neck surgery, but associated with high complication rates. The purpose of this study was to evaluate a refined surgical technique that can reduce flap complications and compare the proposed technique with the conventional surgical technique. A retrospective analysis was performed on 35 consecutive patients affected by malignant tumors of the head and neck, who underwent a pectoralis major myocutaneous pedicled flap reconstruction in our institution, between 2004 and 2009. Patients were divided into 2 groups: group 1 treated by the classic surgical technique, and group 2 treated by the refined surgical technique. Our main outcome measures were the success of the reconstructions and the complications. The overall complication rate in patients who underwent our revisited surgical technique was significantly lower than that in patients who underwent conventional surgical technique (P = 0.001). The results of our study reinforce the value of the pectoralis major flap in the reconstruction of head and neck defects and shows how little refinement of the surgical technique can significantly reduce the onset of complications.
胸大肌肌皮带蒂皮瓣是头颈重建手术中常用的皮瓣，但并发症发生率较高。本研究的目的是评估一种能降低皮瓣并发症的改良手术技术，并将该技术与传统手术技术进行比较。对2004年至2009年间在本机构接受胸大肌肌皮带蒂皮瓣重建的35例连续性头颈恶性肿瘤患者进行了回顾性分析。患者分为两组：第1组采用经典手术技术治疗，第2组采用改良手术技术治疗。我们的主要观察指标是重建的成功率和并发症。接受我们改良手术技术的患者的总体并发症发生率显著低于接受传统手术技术的患者（P = 0.001）。我们的研究结果强化了胸大肌皮瓣在头颈缺损重建中的价值，并表明手术技术的微小改良可显著降低并发症的发生。
