Pedicled osteomyocutaneous pectoralis major flap with osseous rib harvest for salvage mandibular reconstruction: Case and technique.
| Title: | Pedicled osteomyocutaneous pectoralis major flap with osseous rib harvest for salvage mandibular reconstruction: Case and technique. |
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| Authors: | Judd RT; Department of Otolaryngology - Head and Neck Surgery, The Ohio State University, Columbus, Ohio, USA.; McCrary HC; Department of Otolaryngology - Head and Neck Surgery, The Ohio State University, Columbus, Ohio, USA.; Department of Otolaryngology - Head and Neck Surgery, University of Utah, Salt Lake City, Utah, USA.; Farlow JL; Department of Otolaryngology - Head and Neck Surgery, The Ohio State University, Columbus, Ohio, USA.; Department of Otolaryngology - Head and Neck Surgery, Indiana University, Indianapolis, Indiana, USA.; Li M; Department of Otolaryngology - Head and Neck Surgery, The Ohio State University, Columbus, Ohio, USA.; Godsell J; Department of Otolaryngology - Head and Neck Surgery, The Ohio State University, Columbus, Ohio, USA.; Kneuertz PJ; Division of Thoracic Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.; Ozer E; Department of Otolaryngology - Head and Neck Surgery, The Ohio State University, Columbus, Ohio, USA. |
| Source: | Head & neck [Head Neck] 2024 Feb; Vol. 46 (2), pp. 447-451. Date of Electronic Publication: 2023 Dec 05. |
| Publication Type: | Journal Article |
| Language: | English |
| Journal Info: | Publisher: John Wiley And Sons Country of Publication: United States NLM ID: 8902541 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-0347 (Electronic) Linking ISSN: 10433074 NLM ISO Abbreviation: Head Neck Subsets: MEDLINE |
| Imprint Name(s): | Publication: New York, NY : John Wiley And Sons; Original Publication: New York, NY : J. Wiley, c1989- |
| MeSH Terms: | Mandibular Reconstruction* ; Plastic Surgery Procedures* ; Free Tissue Flaps*; Pectoralis Muscles/transplantation ; Ribs/transplantation ; Male ; Humans |
| Abstract: | In the era of free flap reconstruction, mandibular defects are routinely reconstructed with osseous free flaps, and non-free flap bony reconstruction options are limited. A patient with T4N0 mandibular squamous cell carcinoma underwent resection with fibula free flap reconstruction of a parasymphyseal to angle defect. After free flap failure due to venous congestion, the flap was explanted. He declined additional free flap reconstruction and elected to proceed with pedicled osteomyocutaneous pectoralis major with rib. In this case presentation, we discuss the technical details of harvest of this flap using the 6th rib. The pedicled osteomyocutaneous pectoralis major flap with osseous rib harvest, which is infrequently described in the literature, remains a viable option for bony reconstruction, particularly in the salvage setting.; (© 2023 The Authors. Head & Neck published by Wiley Periodicals LLC.) |
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| Contributed Indexing: | Keywords: free flap failure; head and neck cancer; oral cavity reconstruction; osteomyocutaneous flap; pedicled flap |
| Entry Date(s): | Date Created: 20231205 Date Completed: 20240115 Latest Revision: 20240828 |
| Update Code: | 20260130 |
| DOI: | 10.1002/hed.27586 |
| PMID: | 38050748 |
| Database: | MEDLINE |
Journal Article