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December 1983

Complications After Pectoralis Major Myocutaneous Flap Reconstruction of Head and Neck Defects

Author Affiliations

From the Department of Otolaryngology—Head and Neck Surgery, Northwestern University Medical School, Chicago. Dr Ossoff is a junior faculty clinical fellow of the American Cancer Society.

Arch Otolaryngol. 1983;109(12):812-814. doi:10.1001/archotol.1983.00800260034008

• This article reviews our experience with 86 patients undergoing 95 pectoralis major myocutaneous flap reconstructions. Complications and their incidence were very similar to those reported in previous series. Three cases of hidden recurrences appear to be previously unreported complications. The problem of delayed detection of recurrence in at-risk patients is an important one and may be unique to myocutaneous flaps. With the exception of the problem of hidden recurrence, the pectoralis major myocutaneous flap compares favorably with other methods of reconstruction of head and neck defects. Its size, viability, and versatility make it a valuable tool for extending the limits of resectability and reconstruction.

(Arch Otolaryngol 1983;109:812-814)

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