{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T17:55:49Z","timestamp":1790790949064,"version":"4.1.0"},"reference-count":9,"publisher":"FapUNIFESP (SciELO)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"abstract":"<jats:p>ABSTRACT Objective: to evaluate the results of the use of the pectoralis major flap in the reconstruction of head and neck surgeries. Methods: we conducted a retrospective study with data bank analysis and review of medical records of patients with head and neck cancer operated at the Discipline of Head and Neck Surgery, Surgery Department, S\u00e3o Paulo Holy Home of Mercy, using the pectoralis major flap for reconstruction, in a period of 16 years. We analyzed age, gender, primary site of neoplasia, clinical staging, preoperative radiotherapy (RT) and complications, classified as major and minor. Results: the series comprised 92 patients, of whom 86 (93.5%) were men; the mean age was 61.39 (\u00b111.35) years; the most common primary sites were the mouth, in 35 cases (38%), oropharynx, in 21 (22.8%), and larynx, in 18 cases (19.6%). The majority of patients were in stage IV (88\/92, 95.6%) and only four (4.3%) had preoperative RT. The overall complication rate was 48.9%, but only 6.5%, characterized as major complications. In the univariate statistical analysis, we found no factors related to the occurrence of complications. Only the primary neoplasm site presented marginal significance (p = 0.06). Conclusion: the pectoralis major flap is safe, with few complete and effective losses in reconstructions in head and neck surgeries, with low rates of major complications, being an option to be considered.<\/jats:p>","DOI":"10.1590\/0100-6991e-20181682","type":"journal-article","created":{"date-parts":[[2018,3,28]],"date-time":"2018-03-28T19:44:12Z","timestamp":1522266252000},"source":"Crossref","is-referenced-by-count":5,"title":["Pectoralis major myocutaneous flap in Head And Neck Surgery reconstructions: critical analysis."],"prefix":"10.1590","volume":"45","author":[{"given":"MARCELO BENEDITO","family":"MENEZES","sequence":"first","affiliation":[{"name":"Irmandade da Santa Casa de Miseric\u00f3rdia de S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"KASSEM SAMIR","family":"SALEH","sequence":"additional","affiliation":[{"name":"Irmandade da Santa Casa de Miseric\u00f3rdia de S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MARIANNE YUMI","family":"NAKAI","sequence":"additional","affiliation":[{"name":"Irmandade da Santa Casa de Miseric\u00f3rdia de S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"LUCAS PORTO MAURITY","family":"DIAS","sequence":"additional","affiliation":[{"name":"Irmandade da Santa Casa de Miseric\u00f3rdia de S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"NORBERTO KODI","family":"KAVABATA","sequence":"additional","affiliation":[{"name":"Irmandade da Santa Casa de Miseric\u00f3rdia de S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"ANT\u00d4NIO JOS\u00c9","family":"GON\u00c7ALVES","sequence":"additional","affiliation":[{"name":"Irmandade da Santa Casa de Miseric\u00f3rdia de S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2018,3,29]]},"reference":[{"issue":"1","key":"ref1","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1097\/00006534-197901000-00012","article-title":"The pectoralis major myocutaneous flap A versatile flap for reconstruction in the head and neck","volume":"63","author":"Ariyan S","year":"1979","journal-title":"Plast Reconstr Surg"},{"issue":"Suppl 1","key":"ref2","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1016\/j.mjafi.2016.02.013","article-title":"Reliability of the pectoralis major myocutaneous flap in reconstructive oral cancer surgery in developing countries our experience","volume":"72","author":"Bhanja A","year":"2016","journal-title":"Med J Armed Forces India"},{"key":"ref3","series-title":"Local and regional flaps in head and neck reconstruction: a practical approach","author":"Fernandes R","year":"2014"},{"key":"ref4","series-title":"Pectoralis major myocutaneous flap and myofascial flap","year":"2017"},{"key":"ref5","series-title":"AJCC cancer staging manual","author":"Edge S","year":"2016","edition":"7"},{"issue":"6","key":"ref6","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1590\/S1516-31802010000600005","article-title":"Pectoralis major myocutaneous flaps for head and neck reconstruction factors influencing occurrences of complications and the final outcome","volume":"128","author":"Pinto FR","year":"2010","journal-title":"Sao Paulo Med J"},{"issue":"5","key":"ref7","doi-asserted-by":"crossref","first-page":"570","DOI":"10.1097\/SAP.0b013e3181c51f4a","article-title":"The pectoralis major myocutaneous flap revisited a reliable technique for head and neck reconstruction","volume":"64","author":"McLean JN","year":"2010","journal-title":"Ann Plast Surg"},{"issue":"3","key":"ref8","first-page":"484","article-title":"Myocutaneous flap of pectoralis major muscle results and complications in a series of 116 cases","volume":"25","author":"Lima VS","year":"2010","journal-title":"Rev Bras Cir Pl\u00e1st"},{"issue":"1","key":"ref9","doi-asserted-by":"crossref","first-page":"37","DOI":"10.4103\/0975-5950.168225","article-title":"Pectoralis major myocutaneous flap in head and neck reconstruction an experience in 100 consecutive cases","volume":"6","author":"Tripathi M","year":"2015","journal-title":"Natl J Maxillofac Surg"}],"container-title":["Revista do Col\u00e9gio Brasileiro de Cirurgi\u00f5es"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/rcbc\/v45n2\/0100-6991-rcbc-45-02-e1682.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,10,30]],"date-time":"2020-10-30T11:22:07Z","timestamp":1604056927000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0100-69912018000200153&lng=en&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3,29]]},"references-count":9,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2018]]}},"alternative-id":["S0100-69912018000200153"],"URL":"https:\/\/doi.org\/10.1590\/0100-6991e-20181682","relation":{},"ISSN":["1809-4546","0100-6991"],"issn-type":[{"value":"1809-4546","type":"electronic"},{"value":"0100-6991","type":"print"}],"subject":[],"published":{"date-parts":[[2018,3,29]]}}}