Repeated use of the same myocutaneous flap in difficult second operations of the head and neck. Plast Reconstr Surg 1994 Mar;93(3):481-8
Date
03/01/1994Pubmed ID
8115502Scopus ID
2-s2.0-0028295519 (requires institutional sign-in at Scopus site) 18 CitationsAbstract
We have found that the pectoralis major myocutaneous flap is so reliable a flap that in seven selected patients we completely re-elevated, isolated, and transposed it to a new reconstructive site in the head and neck. This may be accomplished safely, despite full courses of external-beam radiation therapy to the flap. We discuss the principles of this and propose that it can be extended and applied to other island, pedicle, or free flaps. The manner in which the flap can be reused and integrated with microvascular transfer or other regional pedicle flaps in complex secondary operations must be determined by the individual reconstructive surgeon on the basis of the requirements of the reconstruction. This technique will make one more tool available to the surgeon for reconstruction.
Author List
Havlik R, Ariyan SAuthor
Robert Havlik MD Chair, Professor in the Plastic Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AgedBrachytherapy
Carcinoma, Squamous Cell
Ear Neoplasms
Female
Head and Neck Neoplasms
Humans
Iodine Radioisotopes
Laryngeal Neoplasms
Lymph Node Excision
Male
Middle Aged
Mouth Neoplasms
Neoplasm Recurrence, Local
Pectoralis Muscles
Pharyngeal Neoplasms
Reoperation
Surgical Flaps
Surgical Wound Dehiscence
Tongue Neoplasms
