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Pectoralis major myofascial flap in salvage laryngectomy

Published online by Cambridge University Press:  15 July 2014

E Cömert ,
Ü Tunçel ,
M Taner Torun ,
C Kiliç ,
A Buğra Cengiz ,
Z şencan  and
M Kaya
E Cömert*
Affiliation:
Department of Otolaryngology, Ankara Oncology Education and Research Hospital, Turkey
Ü Tunçel
Affiliation:
Department of Otolaryngology, Ankara Oncology Education and Research Hospital, Turkey
M Taner Torun
Affiliation:
Department of Otolaryngology, Faculty of Medicine, Erzincan University, Turkey
C Kiliç
Affiliation:
Department of Otolaryngology, Faculty of Medicine, Ordu University, Turkey
A Buğra Cengiz
Affiliation:
Department of Otolaryngology, Ankara Oncology Education and Research Hospital, Turkey
Z şencan
Affiliation:
Department of Otolaryngology, Ankara Oncology Education and Research Hospital, Turkey
M Kaya
Affiliation:
Department of Otolaryngology, Ankara Oncology Education and Research Hospital, Turkey
*
Address for correspondence: Dr Ela CömertAnkara Oncology Education and Research Hospital, Mehmet Akif Ersoy mah., 06200, Yenimahalle, AnkaraTurkey Fax: +90 312 345 49 79 E-mail: elacomert@yahoo.com
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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.

Keywords

Salvage TherapyLaryngectomyFistulaPectoralis Muscles
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 128 , Issue 8 , August 2014 , pp. 714 - 719
Copyright
Copyright © JLO (1984) Limited 2014 

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