Outcome of Pectoralis Major Mayocutaneous Flap in Reconstruction of Maxillofacial Defects

Introduction: The aim of the present study was to evaluate outcomes and complications related to pectoralis major mayocutaneous (PMM) flaps in the reconstruction of maxillofacial defects. Materials and Methods: Subjects who underwent pectoralis major mayocutaneous flaps to reconstruct maxillofacia...

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Main Authors: Reza Tabrizi, Birkan Taha Ozkan, Mohammad Hassani, Behrouz Barati
Format: Article
Language:English
Published: Shahid Beheshti University of Medical Sciences 2019-04-01
Series:Regeneration, Reconstruction & Restoration
Subjects:
Online Access:http://journals.sbmu.ac.ir/tripleR/article/view/30030
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spelling doaj-59c56fbcf7384fb6b9da8a0bb5b0422f2020-11-25T03:25:45ZengShahid Beheshti University of Medical Sciences Regeneration, Reconstruction & Restoration2476-51632476-51712019-04-0142545810.22037/rrr.v4i2.3003013755Outcome of Pectoralis Major Mayocutaneous Flap in Reconstruction of Maxillofacial DefectsReza Tabrizi0Birkan Taha Ozkan1Mohammad Hassani2Behrouz Barati3assistant professor of oral and maxillofacial surgeryAssociate Professor of Oral and Maxillofacial Surgery, Toros University, Institute of Health Science, Toros, Turkey.Mohammad Hassani, MD, Assistant Professor of Vascular and Endovascular Surgery, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.MD, Otorhinolaryngologist, Medical School, Shahid Beheshti University of Medical Sciences, Tehran, Iran.Introduction: The aim of the present study was to evaluate outcomes and complications related to pectoralis major mayocutaneous (PMM) flaps in the reconstruction of maxillofacial defects. Materials and Methods: Subjects who underwent pectoralis major mayocutaneous flaps to reconstruct maxillofacial defects due to trauma or tumor resection were studied. Complications were considered in two stages: early and late. A modified version of the University of Washington Quality of Life questionnaires, version 4, was used to evaluate the functional outcome of patients who underwent free flap or PMM flap reconstruction. The survey is composed of 6 domains: pain, appearance, activity, swallowing, chewing, and speech. We scored domains on a scale ranging from 0 (worst) to 100 (best). We considered scores higher than 70 in the normal range for appearance, activity, swallowing, chewing, and speech. Results: Thirty-one subjects were studied. The most common defect sites were oral floor (48.3%) and buccal soft tissue (32.2%). The least common was neck (19.3%). Immediate complications consisted of dehiscence in 3 cases (9.6%) and flap necrosis in 2 cases (6.4%). Late complications included dehiscence in 3 cases, partial necrosis of skin without muscle necrosis in 1 case, and donor site infection in one case. The most common complications seen in both stages were dehiscence (19.3%) and necrosis (9.6%).In the immediate phase, patients mostly complained of pain. In the late stage, pain significantly decreased. Activity, swallowing, and speech improved in the late stage. Conclusion: Our study indicated a significant improvement in patients' functional outcomes after discharge from the hospital. The pain was a major complaint of patients immediately after reconstruction with PMM flap, which should be considered as a significant concern for maxillofacial surgeons.http://journals.sbmu.ac.ir/tripleR/article/view/30030pectoralis major mayocutaneous flapreconstructionmandibledefect
collection DOAJ
language English
format Article
sources DOAJ
author Reza Tabrizi
Birkan Taha Ozkan
Mohammad Hassani
Behrouz Barati
spellingShingle Reza Tabrizi
Birkan Taha Ozkan
Mohammad Hassani
Behrouz Barati
Outcome of Pectoralis Major Mayocutaneous Flap in Reconstruction of Maxillofacial Defects
Regeneration, Reconstruction & Restoration
pectoralis major mayocutaneous flap
reconstruction
mandible
defect
author_facet Reza Tabrizi
Birkan Taha Ozkan
Mohammad Hassani
Behrouz Barati
author_sort Reza Tabrizi
title Outcome of Pectoralis Major Mayocutaneous Flap in Reconstruction of Maxillofacial Defects
title_short Outcome of Pectoralis Major Mayocutaneous Flap in Reconstruction of Maxillofacial Defects
title_full Outcome of Pectoralis Major Mayocutaneous Flap in Reconstruction of Maxillofacial Defects
title_fullStr Outcome of Pectoralis Major Mayocutaneous Flap in Reconstruction of Maxillofacial Defects
title_full_unstemmed Outcome of Pectoralis Major Mayocutaneous Flap in Reconstruction of Maxillofacial Defects
title_sort outcome of pectoralis major mayocutaneous flap in reconstruction of maxillofacial defects
publisher Shahid Beheshti University of Medical Sciences
series Regeneration, Reconstruction & Restoration
issn 2476-5163
2476-5171
publishDate 2019-04-01
description Introduction: The aim of the present study was to evaluate outcomes and complications related to pectoralis major mayocutaneous (PMM) flaps in the reconstruction of maxillofacial defects. Materials and Methods: Subjects who underwent pectoralis major mayocutaneous flaps to reconstruct maxillofacial defects due to trauma or tumor resection were studied. Complications were considered in two stages: early and late. A modified version of the University of Washington Quality of Life questionnaires, version 4, was used to evaluate the functional outcome of patients who underwent free flap or PMM flap reconstruction. The survey is composed of 6 domains: pain, appearance, activity, swallowing, chewing, and speech. We scored domains on a scale ranging from 0 (worst) to 100 (best). We considered scores higher than 70 in the normal range for appearance, activity, swallowing, chewing, and speech. Results: Thirty-one subjects were studied. The most common defect sites were oral floor (48.3%) and buccal soft tissue (32.2%). The least common was neck (19.3%). Immediate complications consisted of dehiscence in 3 cases (9.6%) and flap necrosis in 2 cases (6.4%). Late complications included dehiscence in 3 cases, partial necrosis of skin without muscle necrosis in 1 case, and donor site infection in one case. The most common complications seen in both stages were dehiscence (19.3%) and necrosis (9.6%).In the immediate phase, patients mostly complained of pain. In the late stage, pain significantly decreased. Activity, swallowing, and speech improved in the late stage. Conclusion: Our study indicated a significant improvement in patients' functional outcomes after discharge from the hospital. The pain was a major complaint of patients immediately after reconstruction with PMM flap, which should be considered as a significant concern for maxillofacial surgeons.
topic pectoralis major mayocutaneous flap
reconstruction
mandible
defect
url http://journals.sbmu.ac.ir/tripleR/article/view/30030
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