Introduction: The pectoralis major myocutaneous flap (PMMF) is commonly used for oral cavity reconstruction, yet its impact on function (intelligible speech, swallowing, mastication, tongue mobility, oral competence, and mouth opening) has rarely been studied or reported in the literature.
Purpose: This study assessed the long-term functional outcome of oral cavity reconstruction with PMMF, placing particular emphasis in its correlation with size of the skin paddle and volume of the flap.
Materials And Methods: Twenty-five patients who underwent reconstruction of compound defects of the oral cavity that involved floor of mouth, buccal mucosa, alveolar ridge, retromolar area, lateral tongue, and continuity of mandible were assessed and followed up for up to 4 years. Assessment of function was based on predetermined clinical parameters along with consecutive measurements of skin paddle size.
Results: At 6 months, the size of the skin paddles averaged a 37% decrease in size, along with a marked reduction in the mass effect from the flap. Tongue mobility was considered good in all patients. Speech was considered intelligible in 84% of patients, of which 16% required some concentration to understand. Initial complaints of difficulty swallowing resolved in every patient and mouth opening in all patients returned to their preoperative state. These findings were maintained consistently throughout the follow-up period. Flap complications, consisting of partial skin paddle necrosis, occurred in 4 patients (16%), but healed after local debridement. Intraoral hair in the skin paddle was present in 5 men who did not receive postoperative radiotherapy.
Conclusions: Reconstruction of the oral cavity (including defects with partial involvement of the tongue and continuity of mandible) can be predictably accomplished using PMMF. These procedures are associated mostly with minor and temporary disruption of function and quality of life and few complications.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/SCS.0b013e3181f81634 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Reconstruction of lower lip defects with chimeric Nasolabial Flap with Buccal Artery Myomucosal Flap.
J Stomatol Oral Maxillofac Surg
January 2025
Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing, PR China. Electronic address:
Purpose: This study aimed to evaluate a chimeric flap comprising a nasolabial flap and a buccal artery myomucosal flap used to reconstruct a large defect of the lower lip.
Materials And Methods: From November 2019 to August 2022, seven patients with lower lip carcinoma underwent radical resection and reconstruction. A chimeric flap comprising a nasolabial flap and a buccal artery myomucosal flap was used to reconstruct the large defect of the lower lip.
Utility of large V-Y advancement of the latissimus dorsi myocutaneous flap in the reconstruction of large thoracic defects: a case series and literature review.
JPRAS Open
March 2025
Sir Charles Gairdner Hospital, Nedlands, Perth, Western Australia, 6009.
Background: Trunk reconstruction following sarcoma excision involves significant defects. Pedicled and free latissimus dorsi myocutaneous flap (LDMF) reconstruction is commonly employed for thoracic defects; however, skin paddle design is limited to 10-12 cm to achieve primary donor closure. Paucity of data exists regarding the utility of V-Y advancement of LDMF, previously described for moderately sized thoracic defects.
View Article and Find Full Text PDFUtility of Free Fibula Flap With an Extended Banana-shaped Skin Paddle for Oro-mandibular Reconstructions.
Plast Reconstr Surg Glob Open
January 2025
Department of Plastic and Reconstructive Surgery, Tokyo Women's Medical University, Tokyo, Japan.
The free fibula flap is a common technique for mandibular bone defects. However, its limited skin paddle is disadvantageous in cases with significant soft-tissue defects. A free fibula dual-skin paddle flap is used for medium-sized soft-tissue defects.
View Article and Find Full Text PDFChimeric Osteocutaneous Free Flap Solution to Variation in Vascular Anatomy.
Plast Reconstr Surg Glob Open
January 2025
Division of Plastic and Reconstructive Surgery, University of Texas Health Science Center San Antonio, San Antonio, TX.
When squamous cell carcinoma necessitates mandibular resection, the resultant defect can be complex. An osteocutaneous fibula free flap is an effective reconstruction option, typically supplied by the peroneal artery for both the fibula and skin flap. In this case report, an anatomical variation was found: the skin paddle was supplied by soleus musculocutaneous perforators of the posterior tibial artery, whereas the fibula was supplied by the peroneal artery.
View Article and Find Full Text PDFThe clinical application and anatomical analysis of proximal peroneal artery perforator in free fibula flap based on CTA.
BMC Oral Health
January 2025
Department of oral and maxillofacial surgery, The Bethune Hospital/School of Stomatology, Jilin University, Changchun, China.
Background: The vascularized free fibular flap is increasingly recognized as the standard technique for the repair of complex soft tissue and hard tissue defects in oral and maxillofacial surgery. Conventionally, the vascular supply to the skin island is derived from the distal perforators of the peroneal artery. However, complications may arise if these distal perforators are either absent or damaged during surgical procedures, highlighting the necessity to employ the proximal peroneal perforators as an alternative.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!