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Victor L. Schramm, Jr, MD; Jonas T. Johnson, MD; Eugene N. Myers, MD

Arch Otolaryngol. 1983;109(3):175-177.

Abstract
• Split-thickness skin grafts and regional flaps have been used to reconstruct deficits produced by oral cavity and oropharyngeal cancer resection in 191 patients. The rate of complication, delay in oral alimentation, and the postoperative length of hospitalization was greater for pectoralis myocutaneous and deltopectoral flap reconstructions than for skin grafts, even when comparably sized defects are considered. The adverse effect of weight loss is greater on flap reconstructions than skin grafts and is influenced little by preoperative nutritional therapy. Skin graft reconstruction is recommended for moderate and large defects. The pectoralis myocutaneous flap may be reserved for massive defects or when the anterior part of the mandible has been resected.

(Arch Otolaryngol 1983;109:175-177)

Author Affiliations
From the Department of Otolaryngology, University of Pittsburgh School of Medicine, Eye and Ear Hospital.

Footnotes
Accepted for publication Aug 18, 1982.

Read in part before the American Academy of Facial Plastic and Reconstructive Surgery, Palm Beach, Fla, May 7, 1982.

Reprint requests to Department of Otolaryngology, University of Pittsburgh School of Medicine, Eye and Ear Hospital, 230 Lothrop St, Pittsburgh, PA 15213 (Dr Schramm).

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