Treatment of the Salivary Duct Carcinoma of the Submandibular Gland with En Bloc Resection and Pectoralis Major Myocutaneous Flap: a Case Report
Keywords:
Submandibular gland tumor, Salivary duct carcinoma, Pectoralis major myocutaneous flapAbstract
Due to an improvement of microvascular techniques in recent years, free flaps are recognized as a gold standard in reconstructive surgery. But there are disadvantages of free flaps surgery such as instruments accessibility, increased operative time and complicated surgical techniques. The objective of this article was to show the advantages of a large cervical defect reconstruction with pectoralis major myocutaneous flap (PMMF) in a challenging clinical case. A 41 years old woman presented with right submandiblar mass. A diagnosis of salivary duct carcinoma (SDC) of right submandibular gland was confirmed by immunohistological technique. En bloc resection of submandibular area left a large triangular cervical defect of 20x15x14 cm. The pectoralis major myocutaneous flap (PMMF) was used as a reconstructive choice to resolve this problem. Post-operative follow up of the flap showed good functional and aesthetic result.
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