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Introduction of the Janus FlapA Modified Pectoralis Major Myocutaneous Flap for Cervical Esophageal and Pharyngeal Reconstruction
Donald Dennis, MD;
Haskins Kashima, MD
Arch Otolaryngol. 1981;107(7):431-435.
Abstract
• The pectoralis major myocutaneous flap (PMMF), with its design and modified applications, is a versatile and reliable method for the reconstruction of large defects that result from surgical ablation or trauma. Defects of the cervical esophagus (two cases) and pharynx (one case) were repaired. In three cases, a technique variation of "banked skin" (the Janus flap) was used to repair through-and-through defects that required two epithelial surfaces. In two cases, the PMMF was harvested after a previous ipsilateral deltopectoral flap. The flap survived preoperative or postoperative radiation in all of the cases. Pharyngoesophageal function was restored in an average of 19 days, with the exception of one case of persistent carcinoma (63 days). There were no major complications or flap failures.
(Arch Otolaryngol 1981;107:431-435)
Author Affiliations
From the Department of Otolaryngology, The Johns Hopkins Hospital, Baltimore. Dr Dennis is now with the Northwest Medical Center, Atlanta.
Footnotes
Accepted for publication Jan 10, 1981.
Read before the fall annual meeting of the American Academy of Facial Plastic and Reconstructive Surgery, Anaheim, Calif, Sept 27, 1980.
Reprint requests to Northwest Medical Center, 3280 Howell Mill Rd NW, Suite 304, Atlanta, GA 30327 (Dr Dennis).
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