Double skin island pectoralis major myocutaneous flap with nipple‐areola complex preservation: A case report

Espinosa, Manuel H.; Phillip, John A.; Khatri, Vijay P.; Amin, Atul K.

doi:10.1002/hed.2880140612

Cited by 6 publications

(2 citation statements)

References 9 publications

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“…The double paddle modification as described by Freeman et al [23] is sometimes an alternative to using another flap technique [24]. However, combinations of PMMF and radial forearm flap, fibula flap, and anterolateral thigh flap were successfully performed [25,26].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the pectoralis major flap for reconstructive head and neck surgery

et al. 2011

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PurposeThe pectoralis major myocutaneous flap (PMMF) is a commonly used flap in reconstructive head and neck surgery, but in literature, the flap is also associated with a high incidence of complications in addition to its large bulk. The purpose of the study is the evaluation of the reliability and indication of this flap in reconstructive head and neck surgery.Patients and methodsThe records of all patients treated with a PMMF between 1998 and 2009 were systematically reviewed. Data of recipient localization, main indication, and postoperative complications were analyzed.ResultsThe male to female ratio was 17:3, with a mean age of 60 years (45-85). Indications in 7 patients were recurrence of a squamous cell carcinoma, in one case an osteoradionecrosis and in 12 cases an untreated squamous cell carcinoma. In 6 male patients (30%), a complication appeared leading to another surgery.ConclusionThe PMMF is a flap for huge defects in head and neck reconstructive surgery, in particular when a bulky flap is needed in order to cover the carotid artery or reconstructive surgery, but the complication rate should not be underestimated in particular after radiotherapy.

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Section: Discussionmentioning

confidence: 99%

Evaluation of the pectoralis major flap for reconstructive head and neck surgery

et al. 2011

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“…22 The double-paddle modification (with vertical and horizontal variations) as described by several authors [25][26][27] is sometimes an alternative to using another flap. 28 However, combinations of PMMF and radial forearm flap, fibula flap, and anterolateral flap were successfully performed. 29,30 To reduce the thickness of the flap, the pectoralis muscle may be raised without overlying fat and skin.…”

Section: Variationsmentioning

confidence: 99%