Application of the Pectoral Major Myocutanous Flap in Oral and Maxillofacial Region Reconstruction
XU Zaiye , ZHU Hanguang. Department of Oral Maxillofacial Surgery, Clinical Medical College, Yangzhou University, Yangzhou, Jiangsu Province 225009
Objective:To discuss the methods and results of the treatment in use of the pectoral major myocutanous flap to reconstruct the large defect that results from the resection of oral and maxillofacial region cancer.Methods: Fifteen patients were undergone oral and maxillofacial region reconstruction in use of the pectoral major myocutanous flaps. Among these patients, there were five cases with tumors of the tongue, four cases with tumors of the bucca, three cases with tumors of the mouth floor, two cases with tumors of the gingiva, and one case of electric wound. Results: All the 15 pectoral major myocutanous flap survived completely, without total or partial necrosis.The relative satisfactory appearances and functions were achieved in all fifteen pateints. Conclusions: Pectoral major myocutanous flap is a versatile workhorse flap in the reconstruction of oral and maxillofacial region defects. It can reconstruct the large defect that result from the oral and maxillofacial region, and it is very safe and reliable.The survival rate of the flap is high.