Internal mammary artery perforator (IMAP) flap for tracheostoma reconstruction

Abstract

The internal mammary artery perforator flap is a relatively thin and reliable flap for tracheostoma and lower neck reconstruction.

Three- and Four-Dimensional Arterial and Venous Perforasomes of the Internal Mammary Artery Perforator Flap

“…11), neck coverage with skin of similar texture and pigmentation with sensory innervation, and a primary closure of the donor site. [7][8][9] Strategies to increase its arc of rotation have included division of the fibers of the pectoralis major cephalad to the pedicle 7 and excision of a portion of the costal cartilage of the second rib. 8 Bilateral internal mammary artery perforator flaps can be used to reconstruct a large central defect of the neck, 8 and preexpansion can also be used to maximize internal mammary artery perforator flap size and coverage surface.…”

“…Although Yu et al 7 and Vesely et al 8 speculated that there existed communications between the perforators in differing intercostal spaces, this had never been proven previously. In this study, we used three-and four-dimensional computed tomographic angiography methods to precisely visualize the arterial and venous vascular anatomy of each perforator and the axiality of their perfusion.…”

“…The internal mammary artery perforator flap has been reported in the reconstruction of the tracheostoma 7 and anterior neck. 8,9 It replaces the deltopectoral flap in its indications and avoids the disadvantages of this flap.…”

Colgajo de perforante de arteria mamaria interna (IMAP) en paciente con condronecrosis laríngea

“…El colgajo de perforante de arteria mamaria interna (IMAP) ha demostrado ser un colgajo fiable, fino y amoldable, con un gran arco de rotación y un ajuste de color perfecto para reconstrucción de cabeza y cuello así como en otras reconstrucciones regionales (6)(7)(8)(9), o también a distancia como colgajo libre.…”

Internal mammary artery perforator-based V-Y advancement flap for the reconstruction of soft tissue defects in the sternal region

“…The internal mammary artery perforator (IMAP) flap can be used to reconstruct small to medium-sized defects in the neck or upper chest [2][3][4][5][6]. Its main advantage is its minimal donor site morbidity and superior aesthetic outcome.…”