Kumari Baswa Mani, Jonathan G T, Gazula Suhasini
Department of Plastic Surgery, MNJ Institute of Oncology, Lakdikapul, Hyderabad, Telangana India 500004.
Department of Pediatric Surgery, Employees State Insurance Corporation (ESIC) Medical College & Superspeciality Hospital, Sanathnagar, Hyderabad, Telangana India 500038.
Indian J Surg Oncol. 2022 Jun;13(2):377-382. doi: 10.1007/s13193-021-01482-7. Epub 2021 Dec 3.
The purpose of this article is to present an innovative technique in harvesting the pectoralis major myocutaneous flap (PMMC) which is very useful for reconstruction of post-ablative full thickness defects of cheek in elderly female patients. This is a prospective study of patients who underwent reconstruction with PMMC flap for post-ablative full thickness defects of the cheek and mandible in a tertiary cancer center over a period of 36 months. Sixty patients were included in the study. Mean duration of the hospital stay was 12 days. Eight patients (13.33%) had minor wound dehiscence, 6 (10%) had marginal skin necrosis of the flap, 2 (3.33%) patients had venous congestion, and 4 (6.66%) had wound dehiscence at the palate. Four (6.66%) patients had a gradual necrosis of the outer paddle. Our modification of elevation of the PMMC flap prevents its shearing which is especially useful in raising this flap in elderly female patients affected with advanced oral cancer.
本文旨在介绍一种用于切取胸大肌肌皮瓣（PMMC）的创新技术，该技术对老年女性患者面颊部全层缺损切除术后的重建非常有用。这是一项前瞻性研究，研究对象为在一家三级癌症中心接受PMMC瓣重建面颊部和下颌骨全层缺损切除术的患者，研究为期36个月。60例患者纳入研究。平均住院时间为12天。8例患者（13.33%）出现轻微伤口裂开，6例（10%）出现皮瓣边缘皮肤坏死，2例（3.33%）患者出现静脉淤血，4例（6.66%）出现腭部伤口裂开。4例（6.66%）患者外侧皮瓣逐渐坏死。我们对PMMC瓣掀起方法的改进可防止其发生剪切，这对于在患有晚期口腔癌的老年女性患者中掀起该皮瓣尤为有用。
