title: [Application of internal mammary artery perforator flap for tracheostoma and anterior cervical defect].
abstract: OBJECTIVE To investigate the application of pedicled internal mammary artery perforator (IMAP) flap for tracheostoma and anterior cervical defect.
  
  
  METHODS
  From April to December 2009, 4 IMAP flaps, based on the second internal mammary artery perforator, were used for two cases of tracheostoma and two cases of anterior cervical skin defect. The flap size was (4-7) cm x (10-13) cm.
  
  
  RESULTS
  3 of 4 flaps survived completely. Partial necrosis happened in one flap. The defects at donor sites were closed directly.
  
  
  CONCLUSIONS
  The IMAP flap is a new method for head and neck defect. It is very suitable for tracheostoma and cervical skin defect, with less morbidity at donor site.
authors.affiliation: Department of Head and Neck Surgery, Cancer Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, 100021, Beijing, China.
authors.forename: Bin
authors.initials: B
authors.lastname: Zhang
authors.forename: Dan-gui
authors.initials: DG
authors.lastname: Yan
authors.forename: Yun
authors.initials: Y
authors.lastname: Feng
authors.forename: Zhen-gang
authors.initials: ZG
authors.lastname: Xu
authors.forename: Ping-zhang
authors.initials: PZ
authors.lastname: Tang
mesh_terms: D000368:Aged; D006801:Humans; D008297:Male; D008323:Mammary Arteries / Q000601:surgery; D008875:Middle Aged; D009333:Neck / Q000601:surgery*; D013524:Surgical Flaps / Q000098:blood supply; D014139:Tracheostomy