T-shaped Pectoralis Major Musculocutaneous Flap for Reconstruction of an Extensive Circumferential Pharyngeal Defect

Summary: In the era of free-flap transfer, the pectoralis major musculocutaneous flap still plays a unique role in head and neck reconstruction. We report on a patient with a recurrent hypopharyngeal carcinoma after total pharyngolaryngectomy and adjuvant chemoradiotherapy in whom defects included a...

Full description

Bibliographic Details
Main Authors:	Shimpei Miyamoto, MD, Yutaka Fukunaga, MD, Takeshi Shinozaki, MD, Yoshichika Yasunaga, MD, Ryuichi Hayashi, MD, Minoru Sakuraba, MD
Format:	Article
Language:	English
Published:	Wolters Kluwer 2014-04-01
Series:	Plastic and Reconstructive Surgery, Global Open
Online Access:	http://journals.lww.com/prsgo/Fulltext/2014/04000/Article.9.aspx

id	doaj-b06c327bc1a646b2a55c8901f392104b
record_format	Article
spelling	doaj-b06c327bc1a646b2a55c8901f392104b2020-11-24T23:32:29ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742014-04-0124e12910.1097/GOX.000000000000007401720096-201404000-00009T-shaped Pectoralis Major Musculocutaneous Flap for Reconstruction of an Extensive Circumferential Pharyngeal DefectShimpei Miyamoto, MD0Yutaka Fukunaga, MD1Takeshi Shinozaki, MD2Yoshichika Yasunaga, MD3Ryuichi Hayashi, MD4Minoru Sakuraba, MD5From the Division of Plastic and Reconstructive Surgery, National Cancer Center Hospital, Tokyo, JapanDivision of Plastic and Reconstructive Surgery, National Cancer Center Hospital East, Kashiwa, Japan;Division of Head and Neck Surgery, National Cancer Center Hospital East, Kashiwa, Japan.Division of Plastic and Reconstructive Surgery, National Cancer Center Hospital East, Kashiwa, Japan;Division of Head and Neck Surgery, National Cancer Center Hospital East, Kashiwa, Japan.Division of Plastic and Reconstructive Surgery, National Cancer Center Hospital East, Kashiwa, Japan;Summary: In the era of free-flap transfer, the pectoralis major musculocutaneous flap still plays a unique role in head and neck reconstruction. We report on a patient with a recurrent hypopharyngeal carcinoma after total pharyngolaryngectomy and adjuvant chemoradiotherapy in whom defects included a circumferential defect of the oropharynx and the entire tongue. The defects were successfully reconstructed with a T-shaped pectoralis major musculocutaneous flap whose skin island included multiple intercostal perforators from the internal mammary vessels. This flap design is effective for reconstructing circumferential pharyngeal defects in vessel-depleted neck.http://journals.lww.com/prsgo/Fulltext/2014/04000/Article.9.aspx
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Shimpei Miyamoto, MD Yutaka Fukunaga, MD Takeshi Shinozaki, MD Yoshichika Yasunaga, MD Ryuichi Hayashi, MD Minoru Sakuraba, MD
spellingShingle	Shimpei Miyamoto, MD Yutaka Fukunaga, MD Takeshi Shinozaki, MD Yoshichika Yasunaga, MD Ryuichi Hayashi, MD Minoru Sakuraba, MD T-shaped Pectoralis Major Musculocutaneous Flap for Reconstruction of an Extensive Circumferential Pharyngeal Defect Plastic and Reconstructive Surgery, Global Open
author_facet	Shimpei Miyamoto, MD Yutaka Fukunaga, MD Takeshi Shinozaki, MD Yoshichika Yasunaga, MD Ryuichi Hayashi, MD Minoru Sakuraba, MD
author_sort	Shimpei Miyamoto, MD
title	T-shaped Pectoralis Major Musculocutaneous Flap for Reconstruction of an Extensive Circumferential Pharyngeal Defect
title_short	T-shaped Pectoralis Major Musculocutaneous Flap for Reconstruction of an Extensive Circumferential Pharyngeal Defect
title_full	T-shaped Pectoralis Major Musculocutaneous Flap for Reconstruction of an Extensive Circumferential Pharyngeal Defect
title_fullStr	T-shaped Pectoralis Major Musculocutaneous Flap for Reconstruction of an Extensive Circumferential Pharyngeal Defect
title_full_unstemmed	T-shaped Pectoralis Major Musculocutaneous Flap for Reconstruction of an Extensive Circumferential Pharyngeal Defect
title_sort	t-shaped pectoralis major musculocutaneous flap for reconstruction of an extensive circumferential pharyngeal defect
publisher	Wolters Kluwer
series	Plastic and Reconstructive Surgery, Global Open
issn	2169-7574
publishDate	2014-04-01
description	Summary: In the era of free-flap transfer, the pectoralis major musculocutaneous flap still plays a unique role in head and neck reconstruction. We report on a patient with a recurrent hypopharyngeal carcinoma after total pharyngolaryngectomy and adjuvant chemoradiotherapy in whom defects included a circumferential defect of the oropharynx and the entire tongue. The defects were successfully reconstructed with a T-shaped pectoralis major musculocutaneous flap whose skin island included multiple intercostal perforators from the internal mammary vessels. This flap design is effective for reconstructing circumferential pharyngeal defects in vessel-depleted neck.
url	http://journals.lww.com/prsgo/Fulltext/2014/04000/Article.9.aspx
work_keys_str_mv	AT shimpeimiyamotomd tshapedpectoralismajormusculocutaneousflapforreconstructionofanextensivecircumferentialpharyngealdefect AT yutakafukunagamd tshapedpectoralismajormusculocutaneousflapforreconstructionofanextensivecircumferentialpharyngealdefect AT takeshishinozakimd tshapedpectoralismajormusculocutaneousflapforreconstructionofanextensivecircumferentialpharyngealdefect AT yoshichikayasunagamd tshapedpectoralismajormusculocutaneousflapforreconstructionofanextensivecircumferentialpharyngealdefect AT ryuichihayashimd tshapedpectoralismajormusculocutaneousflapforreconstructionofanextensivecircumferentialpharyngealdefect AT minorusakurabamd tshapedpectoralismajormusculocutaneousflapforreconstructionofanextensivecircumferentialpharyngealdefect
_version_	1725533880177393664

T-shaped Pectoralis Major Musculocutaneous Flap for Reconstruction of an Extensive Circumferential Pharyngeal Defect

Similar Items