Mohamed hussein fahmy Abdelaziz Abdelhalim
Lecturer
Pectoralis Major Myocutaneous Flap For Reconstruction Of Major Neck Defects Following Surgery For Head And Neck Tumors. A 5-Years Multicenter Experience.
Egyptian Journal of Surgery • 2025
Publication Information
Authors
Emad M. Abdelrahman1, Mohamed O. Elshaer 1, Ahmed Saaduddin Sapri2, Ahmed A. Shoulah 3,
Mohamed H. Abdelhalim 3, Samir M. Halawa4, Mostafa Gomaa Sobhy5, Rami F. Tantawy5, and Ahmed
M. Abostate
Keywords
Neck malignancies, PMMC flap, Neck reconstruction
Journal
Egyptian Journal of Surgery
Publisher
Not Available
Volume
Not Available
Issue
Not Available
Pages
Not Available
publication.type
International
Paper Link
Not Available
Supplementary Materials
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Abstract
Background: Surgeons have long faced the difficulty of reconstructing head and neck defects following treatments for
malignancy. In addition to offering a reconstructive choice of acceptance in terms of color, texture, and advantageous scar
position.
Aim of the study was to document the utility and outcomes with the reconstruction of neck defects using Pectoralis Major
Myocutaneous Flap (PMMC).
Methodology: The current study included 43 patients who were operated on for neck malignancies where wide composite
excision with remaining large defect eligible for reconstruction using PMMC. Follow-up was planned for at least 12 months
postoperatively for the post-operative complications and aesthetic outcome.
Results: In the current study the mean age of the included patient was 55.63±4.22 Among them 44.2 % presented with salivary
gland tumors. The mean operative time was 6.25 ± 0.75 hours with a mean of 5.22 ± 0.67 days hospital stay. The postoperative
wound infection was reported in 16.3 % of patients, wound dehiscence in 16.3 % of patients with no reported total flap loss.
Partial flap loss was reported in 6 patients (13.95 %). There was a strong positive correlation between patient evaluation and
independent surgeons’ assessment (r=0.821).
Conclusion: PMMC flap is a reliable option for the reconstruction of large neck defects. It is easy to be harvested with
minimal postoperative complications and accepted aesthetic outcomes
malignancy. In addition to offering a reconstructive choice of acceptance in terms of color, texture, and advantageous scar
position.
Aim of the study was to document the utility and outcomes with the reconstruction of neck defects using Pectoralis Major
Myocutaneous Flap (PMMC).
Methodology: The current study included 43 patients who were operated on for neck malignancies where wide composite
excision with remaining large defect eligible for reconstruction using PMMC. Follow-up was planned for at least 12 months
postoperatively for the post-operative complications and aesthetic outcome.
Results: In the current study the mean age of the included patient was 55.63±4.22 Among them 44.2 % presented with salivary
gland tumors. The mean operative time was 6.25 ± 0.75 hours with a mean of 5.22 ± 0.67 days hospital stay. The postoperative
wound infection was reported in 16.3 % of patients, wound dehiscence in 16.3 % of patients with no reported total flap loss.
Partial flap loss was reported in 6 patients (13.95 %). There was a strong positive correlation between patient evaluation and
independent surgeons’ assessment (r=0.821).
Conclusion: PMMC flap is a reliable option for the reconstruction of large neck defects. It is easy to be harvested with
minimal postoperative complications and accepted aesthetic outcomes