Document Detail

Introduction of the Janus flap. A modified pectoralis major myocutaneous flap for cervical esophageal and pharyngeal reconstruction.
MedLine Citation:
PMID:  7247808     Owner:  NLM     Status:  MEDLINE    
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.
D Dennis; H Kashima
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Archives of otolaryngology (Chicago, Ill. : 1960)     Volume:  107     ISSN:  0003-9977     ISO Abbreviation:  Arch Otolaryngol     Publication Date:  1981 Jul 
Date Detail:
Created Date:  1981-08-20     Completed Date:  1981-08-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376526     Medline TA:  Arch Otolaryngol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  431-5     Citation Subset:  AIM; IM    
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MeSH Terms
Esophagus / surgery*
Middle Aged
Pectoralis Muscles / blood supply,  transplantation*
Pharynx / surgery*
Surgical Flaps*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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