Internal mammary artery perforator flap for head and neck reconstruction.
BACKGROUND
The internal mammary artery perforator (IMAP) flap is a useful modification of the classic deltopectoral flap that has a number of important roles in head and neck reconstruction.


RESULTS
In this report, we describe the technique used to plan and raise the flap and demonstrate its use in three different clinical scenarios.


CONCLUSIONS
The IMAP flap is a pedicled fasciocutaneous flap that is based on single or multiple internal mammary artery perforators. As such, it provides thin pliable tissue with a wide arc of rotation that is suitable for cutaneous, pharyngeal and tracheostomal reconstruction. Moreover, the flap is well-vascularised, reliable and the donor site can be closed primarily.
Iyer
N Gopalakrishna
NG
Sydney Head and Neck Cancer Institute, Sydney Cancer Centre, Royal Prince Alfred Hospital, New South Wales, Australia. gopaliyer@yahoo.com
Clark
Jonathan R
JR
Ashford
Bruce G
BG
D000368:Aged; D004210:Dissection / Q000379:methods; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D037981:Neck Dissection; D019651:Plastic Surgery Procedures; D012878:Skin Neoplasms / Q000601:surgery; D013524:Surgical Flaps / Q000098:blood supply; D020858:Tissue and Organ Harvesting; D014134:Tracheal Neoplasms / Q000601:surgery; D014139:Tracheostomy