TY - JOUR
T1 - Comparison of the rectus abdominis free flap with the pectoralis major myocutaneous flap for reconstructions in the head and neck
AU - Kroll, Stephen S.
AU - Reece, Gregory P.
AU - Miller, Michael J.
AU - Schusterman, Mark A.
N1 - Copyright:
Copyright 2014 Elsevier B.V., All rights reserved.
PY - 1992/12
Y1 - 1992/12
N2 - The pectoralis major myocutaneous flap (PMMF) is often used in the reconstruction of large head and neck defects. Unfortunately, its use is associated with a high incidence of minor complications, can distort the contour of the neck, and may cause significant donor site deformity, especially in women. This study compared 30 patients with major head and neck cancer-related defects who underwent reconstruction with a rectus abdominis free flap (RAFF) with 39 patients with similar defects who underwent reconstruction with the PMMF. The complication rate found in the RAFF group (13%) was significantly lower than that found in the PMMF group (44%; p=0.0145). Flap necrosis was found in 10% of the PMMF group, whereas none was found in the RAFF group. The aesthetic outcome was also better in patients who had reconstructions with the RAFF. We conclude that, for most major head and neck defects, reconstruction methods that utilize the RAFF and other free tissue transfer techniques are preferable when the requisite equipment and expertise are available.
AB - The pectoralis major myocutaneous flap (PMMF) is often used in the reconstruction of large head and neck defects. Unfortunately, its use is associated with a high incidence of minor complications, can distort the contour of the neck, and may cause significant donor site deformity, especially in women. This study compared 30 patients with major head and neck cancer-related defects who underwent reconstruction with a rectus abdominis free flap (RAFF) with 39 patients with similar defects who underwent reconstruction with the PMMF. The complication rate found in the RAFF group (13%) was significantly lower than that found in the PMMF group (44%; p=0.0145). Flap necrosis was found in 10% of the PMMF group, whereas none was found in the RAFF group. The aesthetic outcome was also better in patients who had reconstructions with the RAFF. We conclude that, for most major head and neck defects, reconstruction methods that utilize the RAFF and other free tissue transfer techniques are preferable when the requisite equipment and expertise are available.
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U2 - 10.1016/S0002-9610(05)80719-6
DO - 10.1016/S0002-9610(05)80719-6
M3 - Article
C2 - 1463111
AN - SCOPUS:0027014204
SN - 0002-9610
VL - 164
SP - 615
EP - 618
JO - The American Journal of Surgery
JF - The American Journal of Surgery
IS - 6
ER -