Functional Outcomes of Pectoralis Major Myocutaneous Flap for Reconstruction in Head and Neck Surgeries

Abstract

Objective: To determine the functional outcomes of pectoralis major myocutaneous flap for reconstruction in head and neck surgeries.

Study Design: Descriptive study

Place and Duration of Study: This study was conducted at the Department of Oral and Maxillofacial surgery, Ziauddin University, Karachi from January 2020 to March 2021.

Materials and Methods: All patients who fulfilled the inclusion criteria and visited to ZUH, Karachi were included in the study. Informed consent was taken after explaining the procedure, risks and benefits of the study. All patients underwent pectoralis major myocutaneous flap for reconstruction. Post procedure patient was followed till one month for the assessment of functional outcomes. All the collected data were entered into the proforma attached at the end and used electronically for research purpose.

Results: Mean ± SD of age was 56.8±15.3 years. In distribution of gender, 31 (73.8%) were male while 11 (26.2%) were female. In functional outcomes pectoralis major myocutaneous flap, mean pain score was 85.7±25.3, mean appearance score was 76.7±31.4, mean speech score was 64.52±32.6 and mean shoulder score was 58.1±34.09.

Conclusion: It is to be concluded that PMM flap has higher rate in shoulder score and speech score. Further large-scale work is recommended for validation of current findings.