An improved technique for development of the pectoralis major myocutaneous flap.
The pectoralis major myocutaneous flap is the most commonly employed muscle skin transfer used in soft-tissue reconstruction of defects of the upper neck and jaw region. This article presents conceptual and technical changes in the development of the pectoralis major myocutaneous flap that preserve a greater vascular pedicle and enhance the flap's arc of rotation. Data from 54 consecutive cases using this modified approach show a reduction in complications, a greater range of use, and consistent healing in radiated and nonradiated tissues without requiring sectioning or removing the clavicle or causing significant chest deformities. These modifications have produced a more predictable transfer compared with other reported techniques.
Marx
R E
RE
Division of Oral and Maxillofacial Surgery, University of Miami School of Medicine, FL 33136.
Smith
B R
BR
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D009055:Mouth / Q000601:surgery*; D009333:Neck / Q000601:surgery; D010369:Pectoralis Muscles / Q000098:blood supply / Q000294:innervation / Q000637:transplantation*; D011183:Postoperative Complications; D013524:Surgical Flaps