[Application of pectoralis major flap to reconstruction of massive defects after head and neck tumor excision].

OBJECTIVE

To discuss the effectiveness and advantage of application of pectoralis major flap in the reconstruction of massive defects after head and neck tumor excision.

METHOD: Thirteen patients with head and neck carcinoma underwent tumor excision, and the massive defects were fixed by pectoralis major myocutaneous flap. Ten patients with recurrent laryngeal carcinoma and 2 with hypopharyngeal carcinoma and 1 with thyroid carcinoma were included.

RESULT: Eleven cases healed well, 1 case appearance fistula of parotid gland, 1 case was lost to follow-up.

CONCLUSION

Pectoralis major myocutaneous flap with adequate vascularization, enough tissue and ideal healing ability cab be used to reconstruct massive defects. And so it can play an important role in providing a better life expectancy and can radically cure or relieve the complaint.