January 1988 to April 1992, 26 patients with advanced head and neck carcinoma underwent head and neck reconstructive surgery with pectoralis major myocutaneous flap (PM-MCF). Over the same period, all cases were submitted to CT to assess the value of this technique in the follow-up. Fourteen patients relapsed (54%). Of them, 5 (36%) were positive on both clinical examination and CT; 8 cases (57%) exhibited evidence of disease on CT only and in 1 patient (7%) CT was negative and the recurrence appeared as a fistula on follow-up exams. CT was of great value in the management of the patients with advanced head and neck carcinoma treated with reconstructive surgery with PM-MCF. However, CT findings must be carefully interpreted because postoperative and postirradiation complications or anatomic alterations may mimic tumor recurrences.
[Role of computed tomography in the follow-up of patients treated with radical surgery and reconstruction with myocutaneous flap for head and neck tumors in advanced stage] / Osti, Mattia Falchetto; DE VINCENTIIS, Marco; Minni, Antonio; G., Potente; F. S., Padovan; F., Torriero; MAURIZI ENRICI, Riccardo. - In: LA RADIOLOGIA MEDICA. - ISSN 0033-8362. - 85:4(1993), pp. 402-405.