This Article  • References  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

George A. Sisson, MD; Michael E. Goldman, MD

Arch Otolaryngol. 1981;107(7):446-449.

Abstract
• In 1962, one of us (G.A.S.) reported six mediastinal dissections for stomal recurrence after laryngectomy. Reconstruction of the superior mediastinum depended on the use of several regional flaps. Adequate soft-tissue and muscle coverage is mandatory to avoid major complications in this (usually) previously radiated and/or surgical field. Seven cases in which the greater pectoral myocutaneous island flap was successfully used for a one-stage reconstruction after ablative surgery for stomal recurrence have been reported in the literature. Our series of six patients supports the use of this flap in reconstruction after mediastinal dissection. Partial skin sloughing occurred in two patients. In one patient, a major complication of necrosis of the flap and an innominate artery rupture occurred. A review of this last case reinforces the necessity of adequate artery coverage in reconstruction.

(Arch Otolaryngol 1981;107:446-449)

Author Affiliations
From the Department of Otolaryngology and Maxillofacial Surgery, Northwestern University Medical Center, Chicago.

Footnotes
Accepted for publication March 4, 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 Department of Otolaryngology and Maxillofacial Surgery, Northwestern University Medical School, 303 E Chicago Ave, Chicago, IL 60611 (Dr Sisson).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

The Pectoralis Major Myocutaneous Flap: Use in Surgery of the Lower Neck and Superior Mediastinum
Burstein and Calcaterra
Arch Otolaryngol Head Neck Surg 1987;113:73-77.
ABSTRACT  

The Deltopectoral Flap v the Pectoralis Major Myocutaneous Flap: Which One?
Price and Davis
Arch Otolaryngol Head Neck Surg 1984;110:35-40.
ABSTRACT