Pectoralis Major Musculocutaneous Flap With Nipple-Areola Complex in Head and Neck Reconstruction

Çoruh, Atilla

doi:10.1097/01.sap.0000202889.09833.34

Cited by 7 publications

(2 citation statements)

References 17 publications

(30 reference statements)

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“…Not placing the skin paddle too low on the rectus muscle fascia or including the nipple areolar complex inside the PMMC flap are design modifications that improve cutaneous portion survival. 27 Practical methods also exist for improving flap survival when the flap is pale or congested. Arterial insufficiency can also be improved when the suture line is not excessively tight, and the intravenous volume expansion can improve arterial insufficiency.…”

Section: Discussionmentioning

confidence: 99%

Simple and reliable way in sternum wound coverage—Tripedicle pectoralis major musculocutaneous flap

et al. 2008

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Section: Discussionmentioning

confidence: 99%

Simple and reliable way in sternum wound coverage—Tripedicle pectoralis major musculocutaneous flap

et al. 2008

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“…Standard technique for harvesting the PMMC flap was implemented. In certain cases with large external defect requiring larger skin paddle, the nipple areola complex (5 patient) was harvested with the skin paddle to stabilise the vascularity of the flap [3]. The age of the patients ranged from 40 to 65 years.…”

Section: Methodsmentioning

confidence: 99%

Reconstruction of Composite and Complex Head and Neck Defect Post Supra Major Oncological Resection by using Bilateral Pectoralis Major Myocutaneous Flap

Singh¹,

Narola²

2022

J Oncol Res Rev Rep

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Aim: The aim of study is to identify the outcome of Bilateral PMMC flaps for major Head and Neck defects following supra major oncological excision of growth. Study: Hospitals in India get many T4 Head & Neck malignancy. They are operated by Oncosurgeons but its reconstruction becomes challenging for the Plastic surgeons. We present a case series of reconstruction of major Head and Neck composite defect resulting from major post oncological resection where we have used Bilateral pectoralis major Myocutaneous flap to cover the resultant defect. Although microsurgical technique is available, but it’s costly. Pectoralis major flap is a robust flap, it requires lesser learning curve and lesser anaesthesia time, so the complications are less and healing is also faster. It is single stage surgery so that after healing Radiotherapy could be started as early as possible. Method: Fifteen patients since 2013 operated by chief surgeon were included in this study. After supra major excision of growth the inner lining was covered by contralateral PMMC and ipsilateral PMMC was used to cover the external defect. Conclusion: Bilateral PMMC flap is an answer to cover the defect following supra major excision of T4 Oral Malignancy. It is a pedicled flap, time taken is lesser than Microvascular Reconstruction and it could be done where microsurgical expertise is lacking. It is single stage surgery so radiation could be started early. So it’s a good answer to cover major post oncological surgical defect.

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The subclavicular versus the supraclavicular route for pectoralis major myocutaneous flap: a cadaveric anatomic study

Vanni

Pinto

Matos

et al. 2010

Eur Arch Otorhinolaryngol

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The aim of this paper was to determine if the subclavicular route of rotation improved the pectoralis major myocutaneous flap's ability to reach head and neck sites in comparison to the traditional supraclavicular rotation. We dissected 50 flaps in 25 fresh adult male cadavers. The length of the pedicle and the flap's ability to reach five anatomical head and neck sites (laryngeal prominence of thyroid cartilage, mentum, angle of the mandible, external auditory canal, and orbit) were tested by supraclavicular and subclavicular rotation. Although the average length of the flap's pedicle was higher when the subclavicular rotation was employed, there was no statistical difference between the two techniques concerning the flap's ability to reach the studied sites. Our results suggest that the subclavicular route apparently adds little to the reconstruction of head and neck defects using the pectoralis major myocutaneous flap. We believe that the indication of this technique should be evaluated on a case-by-case basis before it is recommended to keep from unnecessarily increasing the potential morbidity of the reparative procedure.

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Pectoralis Major Musculocutaneous Flap With Nipple-Areola Complex in Head and Neck Reconstruction

Cited by 7 publications

References 17 publications

Simple and reliable way in sternum wound coverage—Tripedicle pectoralis major musculocutaneous flap

Simple and reliable way in sternum wound coverage—Tripedicle pectoralis major musculocutaneous flap

Reconstruction of Composite and Complex Head and Neck Defect Post Supra Major Oncological Resection by using Bilateral Pectoralis Major Myocutaneous Flap

The subclavicular versus the supraclavicular route for pectoralis major myocutaneous flap: a cadaveric anatomic study

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