Pectoralis major myocutaneous flap in Head And Neck Surgery reconstructions: critical analysis.
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista do Colégio Brasileiro de Cirurgiões |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912018000200153 |
Resumo: | ABSTRACT Objective: to evaluate the results of the use of the pectoralis major flap in the reconstruction of head and neck surgeries. Methods: we conducted a retrospective study with data bank analysis and review of medical records of patients with head and neck cancer operated at the Discipline of Head and Neck Surgery, Surgery Department, São Paulo Holy Home of Mercy, using the pectoralis major flap for reconstruction, in a period of 16 years. We analyzed age, gender, primary site of neoplasia, clinical staging, preoperative radiotherapy (RT) and complications, classified as major and minor. Results: the series comprised 92 patients, of whom 86 (93.5%) were men; the mean age was 61.39 (±11.35) years; the most common primary sites were the mouth, in 35 cases (38%), oropharynx, in 21 (22.8%), and larynx, in 18 cases (19.6%). The majority of patients were in stage IV (88/92, 95.6%) and only four (4.3%) had preoperative RT. The overall complication rate was 48.9%, but only 6.5%, characterized as major complications. In the univariate statistical analysis, we found no factors related to the occurrence of complications. Only the primary neoplasm site presented marginal significance (p = 0.06). Conclusion: the pectoralis major flap is safe, with few complete and effective losses in reconstructions in head and neck surgeries, with low rates of major complications, being an option to be considered. |
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Revista do Colégio Brasileiro de Cirurgiões |
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Pectoralis major myocutaneous flap in Head And Neck Surgery reconstructions: critical analysis.Head and Neck NeoplasmsMyocutaneous FlapPectoralis MusclesPostoperative ComplicationsABSTRACT Objective: to evaluate the results of the use of the pectoralis major flap in the reconstruction of head and neck surgeries. Methods: we conducted a retrospective study with data bank analysis and review of medical records of patients with head and neck cancer operated at the Discipline of Head and Neck Surgery, Surgery Department, São Paulo Holy Home of Mercy, using the pectoralis major flap for reconstruction, in a period of 16 years. We analyzed age, gender, primary site of neoplasia, clinical staging, preoperative radiotherapy (RT) and complications, classified as major and minor. Results: the series comprised 92 patients, of whom 86 (93.5%) were men; the mean age was 61.39 (±11.35) years; the most common primary sites were the mouth, in 35 cases (38%), oropharynx, in 21 (22.8%), and larynx, in 18 cases (19.6%). The majority of patients were in stage IV (88/92, 95.6%) and only four (4.3%) had preoperative RT. The overall complication rate was 48.9%, but only 6.5%, characterized as major complications. In the univariate statistical analysis, we found no factors related to the occurrence of complications. Only the primary neoplasm site presented marginal significance (p = 0.06). Conclusion: the pectoralis major flap is safe, with few complete and effective losses in reconstructions in head and neck surgeries, with low rates of major complications, being an option to be considered.Colégio Brasileiro de Cirurgiões2018-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912018000200153Revista do Colégio Brasileiro de Cirurgiões v.45 n.2 2018reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/0100-6991e-20181682info:eu-repo/semantics/openAccessMENEZES,MARCELO BENEDITOSALEH,KASSEM SAMIRNAKAI,MARIANNE YUMIDIAS,LUCAS PORTO MAURITYKAVABATA,NORBERTO KODIGONÇALVES,ANTÔNIO JOSÉeng2018-03-27T00:00:00Zoai:scielo:S0100-69912018000200153Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2018-03-27T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false |
dc.title.none.fl_str_mv |
Pectoralis major myocutaneous flap in Head And Neck Surgery reconstructions: critical analysis. |
title |
Pectoralis major myocutaneous flap in Head And Neck Surgery reconstructions: critical analysis. |
spellingShingle |
Pectoralis major myocutaneous flap in Head And Neck Surgery reconstructions: critical analysis. MENEZES,MARCELO BENEDITO Head and Neck Neoplasms Myocutaneous Flap Pectoralis Muscles Postoperative Complications |
title_short |
Pectoralis major myocutaneous flap in Head And Neck Surgery reconstructions: critical analysis. |
title_full |
Pectoralis major myocutaneous flap in Head And Neck Surgery reconstructions: critical analysis. |
title_fullStr |
Pectoralis major myocutaneous flap in Head And Neck Surgery reconstructions: critical analysis. |
title_full_unstemmed |
Pectoralis major myocutaneous flap in Head And Neck Surgery reconstructions: critical analysis. |
title_sort |
Pectoralis major myocutaneous flap in Head And Neck Surgery reconstructions: critical analysis. |
author |
MENEZES,MARCELO BENEDITO |
author_facet |
MENEZES,MARCELO BENEDITO SALEH,KASSEM SAMIR NAKAI,MARIANNE YUMI DIAS,LUCAS PORTO MAURITY KAVABATA,NORBERTO KODI GONÇALVES,ANTÔNIO JOSÉ |
author_role |
author |
author2 |
SALEH,KASSEM SAMIR NAKAI,MARIANNE YUMI DIAS,LUCAS PORTO MAURITY KAVABATA,NORBERTO KODI GONÇALVES,ANTÔNIO JOSÉ |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
MENEZES,MARCELO BENEDITO SALEH,KASSEM SAMIR NAKAI,MARIANNE YUMI DIAS,LUCAS PORTO MAURITY KAVABATA,NORBERTO KODI GONÇALVES,ANTÔNIO JOSÉ |
dc.subject.por.fl_str_mv |
Head and Neck Neoplasms Myocutaneous Flap Pectoralis Muscles Postoperative Complications |
topic |
Head and Neck Neoplasms Myocutaneous Flap Pectoralis Muscles Postoperative Complications |
description |
ABSTRACT Objective: to evaluate the results of the use of the pectoralis major flap in the reconstruction of head and neck surgeries. Methods: we conducted a retrospective study with data bank analysis and review of medical records of patients with head and neck cancer operated at the Discipline of Head and Neck Surgery, Surgery Department, São Paulo Holy Home of Mercy, using the pectoralis major flap for reconstruction, in a period of 16 years. We analyzed age, gender, primary site of neoplasia, clinical staging, preoperative radiotherapy (RT) and complications, classified as major and minor. Results: the series comprised 92 patients, of whom 86 (93.5%) were men; the mean age was 61.39 (±11.35) years; the most common primary sites were the mouth, in 35 cases (38%), oropharynx, in 21 (22.8%), and larynx, in 18 cases (19.6%). The majority of patients were in stage IV (88/92, 95.6%) and only four (4.3%) had preoperative RT. The overall complication rate was 48.9%, but only 6.5%, characterized as major complications. In the univariate statistical analysis, we found no factors related to the occurrence of complications. Only the primary neoplasm site presented marginal significance (p = 0.06). Conclusion: the pectoralis major flap is safe, with few complete and effective losses in reconstructions in head and neck surgeries, with low rates of major complications, being an option to be considered. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912018000200153 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912018000200153 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0100-6991e-20181682 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
publisher.none.fl_str_mv |
Colégio Brasileiro de Cirurgiões |
dc.source.none.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões v.45 n.2 2018 reponame:Revista do Colégio Brasileiro de Cirurgiões instname:Colégio Brasileiro de Cirurgiões (CBC) instacron:CBC |
instname_str |
Colégio Brasileiro de Cirurgiões (CBC) |
instacron_str |
CBC |
institution |
CBC |
reponame_str |
Revista do Colégio Brasileiro de Cirurgiões |
collection |
Revista do Colégio Brasileiro de Cirurgiões |
repository.name.fl_str_mv |
Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC) |
repository.mail.fl_str_mv |
||revistacbc@cbc.org.br |
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1754209214109057024 |