Reconstruction of the defect created by laryngopharyngectomy remains
one of the greatest challenges to the head and Neck surgeon. In
our study, both pectoralis major musculocutaneous flap (PMMF) and
deltopectoral flap (DPF) were used to reconstruct thee resulting pharyngeal
defect alter total laryngopharyngectomy in 10 patients with advanced
malignancy of the larynx, selected from the national cancer institute
(NCI) during the period from October1999 to April 2001, out of
them, 7 patients underwent pharyngeal reconstruction at the same sitting
(Primary repair) by the use of PMMF. While 3 patients were reconstructed
by DPF as a sort of secondary repair. After 7 months, PMMF
was used for pharyngeal repair. The use of PMMF and DPF as primary
and secondary repair was analyzed and discussed as regard indications
and follow up. penalty. The use of a novel ORSs should not, however, be
extended to other species without further research. |
