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Title: | Pectoralis major myofascial flap in salvage laryngectomy |
Authors: | Comert, E. Tuncel, U. Torun, M. Taner Kilic, C. Cengiz, A. Bugra Sencan, Z. Kaya, M. Ordu Üniversitesi 0000-0003-2879-2524 0000-0002-5194-4234 |
Keywords: | Salvage Therapy, Laryngectomy, Fistula, Pectoralis Muscles ORGAN PRESERVATION THERAPY, POSTLARYNGECTOMY PHARYNGOCUTANEOUS FISTULA, MYOCUTANEOUS FLAP, COMPLICATIONS, NECK, HEAD, RECONSTRUCTION, SURGERY, DEFECTS, CANCER |
Issue Date: | 2014 |
Publisher: | CAMBRIDGE UNIV PRESS-CAMBRIDGE |
Citation: | Cömert, E., Tunçel, U., Torun, MT., Kiliç, C., Cengiz, AB., Sencan, Z., Kaya, M. (2014). Pectoralis major myofascial flap in salvage laryngectomy. J. Laryngol. Otol., 128(8), 714-719. https://doi.org/10.1017/S0022215114001479 |
Abstract: | Objective: The main purpose of this study was to evaluate the effect of the pectoralis major myofascial flap on pharyngocutaneous fistula formation and time to oral feeding. Methods: This retrospective study reviewed 155 total laryngectomies. Patients were divided into two main groups. Group 1 included 110 patients who were treated primarily by total laryngectomy and group 2 comprised 45 patients who were treated by salvage laryngectomy with or without a pectoralis major myofascial flap. Results: The use of a pectoralis major myofascial flap did not have a significant effect on pharyngocutaneous fistula formation in the salvage group (p = 0.376). When comparing the oral feeding day of patients with pharyngocutaneous fistula, a significant difference was observed between the salvage group with pectoralis major myofascial flap reinforcement and the salvage group without pectoralis major myofascial flap reinforcement (p = 0.004). Discussion: Our study demonstrated that pectoralis major myofascial flap reinforcement did not decrease the rate of pharyngocutaneous fistula formation. Instead, it prevented the formation of large fistulas that would require surgical management, and showed a similar time to oral feeding and length of hospital stay to primary laryngectomy. |
Description: | WoS Categories: Otorhinolaryngology Web of Science Index: Science Citation Index Expanded (SCI-EXPANDED) Research Areas: Otorhinolaryngology |
URI: | http://dx.doi.org/10.1017/S0022215114001479 https://www.webofscience.com/wos/woscc/full-record/WOS:000341763800012 http://earsiv.odu.edu.tr:8080/xmlui/handle/11489/5059 |
ISSN: | 0022-2151 1748-5460 |
Appears in Collections: | Cerrahi Tıp Bilimleri |
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