ACTA otorhinolaryngologica italica 2014;34:389-393
Head and neck
Pectoralis major myocutaneous flap for head and neck reconstruction: risk factors for fistula formation Lembo miocutaneo di muscolo grande pettorale per le ricostruzioni del distretto testa-collo: fattori di rischio per la formazione delle fistole A.K.N. Leite1, L.L. de Matos2, M. Belli1, M.A.V. Kulcsar2, C.R. Cernea1, L. Garcia Brandão2, F.R. Pinto 2 1 Department of Head and Neck Surgery, University of São Paulo Medical School, São Paulo, Brazil; 2 Department of Head and Neck Surgery, Instituto do Câncer do Estado de São Paulo (ICESP), University of São Paulo Medical School. Summary The pectoralis major myocutaneous flap (PMMF) is a safe and versatile flap used widely for head and neck cancer reconstructions, but one of the major and most feared complications is oro- or pharyngocutaneous fistula. Herein, we attempt to establish risk factors for fistula formation in reconstructions of mucosal defects in the head and neck using PMMF through retrospective analysis of PMMF performed during 3 years at a single institution, with a total of 84 procedures. There were 69 men and 15 women, with a mean age of 59.5 years. There were 15 cases of partial flap loss, two total flap losses and 31 fistulas. The independent risk factors for fistula formation were preoperative serum hemoglobin
Head and neck
Pectoralis major myocutaneous flap for head and neck reconstruction: risk factors for fistula formation Lembo miocutaneo di muscolo grande pettorale per le ricostruzioni del distretto testa-collo: fattori di rischio per la formazione delle fistole A.K.N. Leite1, L.L. de Matos2, M. Belli1, M.A.V. Kulcsar2, C.R. Cernea1, L. Garcia Brandão2, F.R. Pinto 2 1 Department of Head and Neck Surgery, University of São Paulo Medical School, São Paulo, Brazil; 2 Department of Head and Neck Surgery, Instituto do Câncer do Estado de São Paulo (ICESP), University of São Paulo Medical School. Summary The pectoralis major myocutaneous flap (PMMF) is a safe and versatile flap used widely for head and neck cancer reconstructions, but one of the major and most feared complications is oro- or pharyngocutaneous fistula. Herein, we attempt to establish risk factors for fistula formation in reconstructions of mucosal defects in the head and neck using PMMF through retrospective analysis of PMMF performed during 3 years at a single institution, with a total of 84 procedures. There were 69 men and 15 women, with a mean age of 59.5 years. There were 15 cases of partial flap loss, two total flap losses and 31 fistulas. The independent risk factors for fistula formation were preoperative serum hemoglobin
