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

CHARLES M. STIERNBERG, MD
Galveston, Tex

Arch Otolaryngol. 1985;111(3):208.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—I have been most interested in the recent articles^1,2 on pectoralis myocutaneous flap (PMF) modifications published in the ARCHIVES. Also, I would like to compliment Dr Fee for his commentary concerning the various methods of pharyngeal and esophageal reconstruction.³ One of the major points these authors make is that a less bulky flap will avoid functional problems (deglutition and esophageal speech) after reconstruction.

It is particularly important, however, to analyze and compare the techniques for PMF modifications.

Robertson and Robinson¹ used a technique outlined by Sharzer et al,⁴ in which the incision is started superiorly near the manubrium, descends parasternally, and then curves laterally in the inframammary fold. While this is probably the most cosmetically pleasing design, it "burns a bridge," insofar as a deltopectoral flap (DPF) cannot be used if the need arises in the future. On the other hand, the incision . . . [Full Text PDF of this Article]

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