Management of necrotic neck wounds with a sandwich pectoralis myocutaneous flap

Journal Article · Tue Mar 01 04:00:00 EST 1988 · Head Neck Surg.; (United States)

DOI:https://doi.org/10.1002/j.1930-2398.1988.tb00007.x· OSTI ID:5986645

Goldstein, R D; Komisar, A; Silver, C; Strauch, B

A modified pectoralis major myocutaneous flap was used to stabilize necrotic neck wounds rapidly in irradiated patients. The flap was a sandwich flap that included an overlying parasternal pectoral skin paddle for pharyngeal reconstruction, the pectoralis muscle for carotid protection, and a meshed skin graft applied to the undersurface of the muscle to replace cervical skin. This flap has been used to reconstruct seven patients with severe wound necrosis from pharyngeal fistula and infection. All patients had carotid exposure in the infected wound. Reconstruction in all patients accomplished restoration of pharyngeal continuity, carotid protection, and cervical skin replacement. Some patients required more than one procedure for closure. There were no carotid blowouts in any of the patients. This technique enables the head and neck surgeon to stabilize these contaminated wounds rapidly and to reconstruct complex defects of the pharynx and cervical skin.

• Research Organization: Albert Einstein College of Medicine, Bronx, NY (USA)
• OSTI ID: 5986645
• Journal Information: Head Neck Surg.; (United States), Journal Name: Head Neck Surg.; (United States) Vol. 10:4; ISSN HNSUD
• Country of Publication: United States
• Language: English

Related Subjects

560151* -- Radiation Effects on Animals-- Man
63 RADIATION, THERMAL, AND OTHER ENVIRON. POLLUTANT EFFECTS ON LIVING ORGS. AND BIOL. MAT.
BIOLOGICAL EFFECTS
BIOLOGICAL RADIATION EFFECTS
BIOLOGICAL RECOVERY
BODY
BODY AREAS
DIGESTIVE SYSTEM
DISEASES
GRAFTS
HEAD
HEALING
INJURIES
MEDICINE
MUSCLES
NECK
NECROSIS
NEOPLASMS
NUCLEAR MEDICINE
ORGANS
PATHOLOGICAL CHANGES
PATIENTS
PHARYNX
RADIATION EFFECTS
RADIATION INJURIES
RADIOLOGY
RADIOTHERAPY
RECOVERY
RESPIRATORY SYSTEM
SIDE EFFECTS
SKIN
THERAPY
TRANSPLANTS
WOUNDS