Shoulder morbidity after pectoralis main flap reconstruction.
Head Neck. 2016 Aug;38(Eight):1221-Eight
Authors: Refos JW, Witte BI, de Goede CJ, de Bree R
BACKGROUND: Donor web site morbidity of pectoralis main pedicled flap (PMPF) is scarcely studied.
METHODS: A cross-sectional examine on sufferers who underwent reconstructive surgical procedure with a PMPF at the very least 6 months earlier than was carried out. Sufferers with an analogous sort neck dissection on each side and PMPF on one aspect (n = 9) had been assigned to group 1; sufferers with neck dissection and PMPF (n = 26) had been assigned to group 2; and neck dissection solely (n = 47) had been assigned to group three. All three teams stuffed out a shoulder incapacity questionnaire and underwent shoulder perform assessments. Ache of the shoulder was rated on a visible analog scale (VAS). Sufferers had been additionally requested if that they had skilled stiffness of the shoulder in the course of the earlier week. Vary of movement (ROM) of the shoulder was examined by one single examiner utilizing an inclinometer, in accord with a standardized protocol. Radical neck dissection (RND), modified radical neck dissection (MRND), and selective neck dissection (SND) sides had been individually analyzed.
RESULTS: In group 2, shoulder morbidity was skilled extra usually (p = .065) than in group three, significantly on the sides the place an SND was carried out (p = .010). Vital variations in prevalence of shoulder stiffness between PMPF and neck dissection sides and neck dissection solely sides had been discovered within the RND (p = .001) and MRND (p = .004) teams, however not within the SND group. A decrease ROM of abduction (p = .026) was present in group 2 as in comparison with group three.
CONCLUSION: Sufferers incessantly have extra shoulder morbidity after PMPF harvest, significantly after SND. PMPF harvest provides to impairment of abduction. © 2016 Wiley Periodicals, Inc. Head Neck 38:1221-1228, 2016.
PMID: 27172858 [PubMed – indexed for MEDLINE]