International Journal of Oral Health & Dental Management


Role of Pectoralis Major Muscle Pedicle Flap in Reconstruction of Orofacial Region

Hamada Mahran, Mohammed Koratum, Ahmad Abdelraheem, Motazrizq.

Background: The pectoralis major myocutaneous flap has been used for decades for reconstruction of oral and orofacial region defects. There was a need to evaluate this flap as regard reliability and efficacy. The aim of this study to evaluate the reliability and efficacy of this flap for oral and orofacial reconstruction.

Methods: The study was done in the department of maxillofacial surgery, faculty of medicine, Assiut University, the period was 2 years, 7 cases of orofacial defects (6 cases of oral cancer, and one case of traumatic soft tissue loss) were treated by pectoralis major myocutaneous flap. A written consent was taken for each patient. Full history, complete clinical examination and routine investigations done for very patient, some patients needed additional investigations. In all cases the flap used for primary reconstruction.

Results: In this study the males were more than females (5/2), the age range was from 41 to 67 years. For all patients we used single paddle pectoralis major muscle myocutaneous flap for primary reconstruction of the orofacial defect. Superficial necrosis of the skin island occurred in one patient and healed spontaneously. 2 cases had orocutaneous fistula and managed conservatively. The difficulty in swallowing improved gradually for all patient. The whole flap survival rate was perfect (100).

Conclusion: We found that pectoralis major muscle myocutaneous flap is a good option for orofacial reconstruction; it could be a suitable alternative if free flap is not available.