Pectoralis Major Myocutaneous Flap Reconstruction of a Traumatic Gunshot Wound to the Oropharynx: A Case Report
Keywords:
Reconstruction, Regional Flap, TraumaAbstract
Penetrating injuries to the neck can be complex and life-threatening. The main priority in these events is to stabilize the patient and address any immediate danger. For patients who survive, there is often a need for reconstruction. Complications such as fistulas may also arise, which can be resolved through reconstruction. The standard of care in most hospitals across the United States for neck reconstruction involves the use of a free flap and free tissue transfers, based on the defect and the patient’s overall health status. In this case report, we present the successful closure and reconstruction of a laryngopharyngeal gunshot wound and an associated pharyngocutaneous fistula using a left pectoralis major myocutaneous flap (PMMF). This case highlights the PMMF as a safe and well-researched alternative to free flap reconstruction in select patients and demonstrates a potential niche for regional flap reconstruction in modern head and neck surgery.
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References
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