Assessment of the Pectoralis Major Myocutaneous Flap in Closure of Orofacial Defects After Excision of Oral Cancer

Osman, Mohammed H.; Shaltout, Salah El-Dein G.; Elsers, Dalia A.; Abbas, Hamdan S.; Shahine, Mohammed S.

doi:10.21608/ejhm.2022.272482

Assessment of the Pectoralis Major Myocutaneous Flap in Closure of Orofacial Defects After Excision of Oral Cancer

Document Type : Original Article

Authors

10.21608/ejhm.2022.272482

Abstract

Background: Oral cancer is one of the main causes of orofacial defects that need reconstruction after resection to restore cosmetic appearance and function, especially after glossectomy and cancer cheek resection.
Patients and methods: The study was done on 17 cases with oral squamous cell carcinoma (OSCC) who were evaluated for choice of the reconstruction method with pectoralis major myocutaneous flap (PMMF) according to tumor size (T). They were admitted to the General Surgery Department (Maxillofacial Unit), Assiut University Hospital, Egypt from March 2016.
Results: We observed that 58.8 % of the cases which reconstructed with PMMF were females and 41.2% of the cases were males. Most cases were from age group ≥ 50 years (82.4%) while 17.6% of cases were from the age group < 50 years. As regards smoking, 29.4% of the reconstructed cases were smokers and 70.6% of the cases were non-smokers.
Conclusion: Our study' findings showed the safety, dependability, and adaptability of the pectoralis major myocutaneous pedicle flap as a reconstructive technique, with a manageable incidence of postoperative problems and related morbidity.

Keywords