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Revista do Colégio Brasileiro de Cirurgiões

Print version ISSN 0100-6991On-line version ISSN 1809-4546


CAMARGO, José Gonzaga Teixeira; RAPOPORT, Abrão; CHAGAS, José Francisco Salles  and  AQUINO, José Luis Braga. Viability of major pectoralis miofascial flap in malignant neoplasias of head and neck: study of 14 cases. Rev. Col. Bras. Cir. [online]. 1999, vol.26, n.5, pp.299-304. ISSN 1809-4546.

The great incidence of advanced squamous cell carcinoma of the mouth, pharynx, larynx and neck, justifies the extensive resections that are carried out by the authors at the Head and Neck Service of Hospital Celso Pierro PUCCAMP - São Paulo. Major pectoralis myofascial flap were used to manage 14 patients with advanced head and neck squamous cell carcinoma of the mouth (ten cases), pharynx (two cases); larynx (one case) and neck (one case). There was no complications in 81.2% and in 18.8% total necrosis of the flap was observed. We conclude that viability, age and necrosis or fibrosis were not associated with the success of this procedure (p=1.0), and previous treatment (chemoradiotheraphy and or radiotherapy alone) had no significant relation with flap viability (p=0.547).

Keywords : Myofascial flap; Major pectoralis muscle; Reconstruction.

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