The PMMF was prepared at an appropriate position to repair the hypopharyngeal defect. Article Google Scholar 4. These excellent outcomes demonstrate a considerable reliability and benefit of these techniques. When there were multiple factors leading to the use of a PMMF, the principle one identified for the choice was listed as the indication. It is our opinion that it is safe to use an inframammary skin paddle in this instance. We did serial searches for articles published in English language. Conclusion There are multiple configurations of the pectoralis flap reported in the English language literature for the reconstruction of sternoclavicular defects.
courses superolaterally. Deep relations of pectoralis major muscle. (Figure 2).
Deep to the pectoralis major muscle is its vascular pedicle, the pectoralis minor. Pectoralis Major Myocutaneous Flap and Myofascial Flap see also: of coverage and the reach of the flap are dependent on the anatomy of.
The pectoralis major myocutaneous flap (PMMF) is a commonly used Ariyan was among the first to use this pedicle flap for head and neck.
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Medially minimum of 2 cms muscle attachment is left over body of sternum Rudes, M. Results We identified 89 studies from our initial search.
Download citation. The muscle attachment to the clavicle and sternum are divided.
Pectoralis major flap markings inc
|Every incision we made in the face, neck, and chest exhibited wound edge breakdown postoperatively.
The pectoralis major flap is the first line flap due to its proximity to the defect and robust and predictable blood supply [ 101112 ]. The pectoral branches of the thoracoacromial artery can be seen and felt running on the deep aspect of the pectoralis major muscle. Line A represents the lateral incision, the first one made in the procedure.
To obtain the best experience, we recommend you use a more up to date browser or turn off compatibility mode in Internet Explorer. The pectoralis muscle is identified and followed inferiorly and medially. Download PDF.
The role of the pectoralis major myocutaneous flap (PMMF) in head and neck The PMMF was harvested as a pedicle-skeletonized flap, with its skin input using SPSS version software (SPSS, Inc., Chicago, IL, USA).
The pectoralis major myocutaneous flap has been associated with a notable The anatomy of the PMMC flap is well described in the literature and is. that keeping the skin over the muscle incorporated more cutaneous perforators, which.
Large arc of rotation 4.
This configuration has smaller bulk and may be more suitable for smaller defects. These composites need not consist only of soft tissue. Data were obtained regarding coexisting health conditions and perioperative complications, which were divided into major and minor categories.
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Pectoralis major flap markings inc
|Statistical analysis : Ramakrishnan and Yao.
Arch Brononeumol. Journal of oral and maxillofacial surgery: official journal of the American Association of Oral and Maxillofacial Surgeons 71e e, doi: Standard skin paddle is located at the infero-medial border of the pectoralis major muscle that is inserting on the lateral border of the sternum and the second to sixth costal cartilage.
PMMFs has been reported to be an appropriate option for reconstruction of extensive neck soft tissue defects resulting from ablative surgery for cervical metastasis involving the overlying skin, since it allows both large volume soft tissue coverage and protection of the carotid artery 26
Video: Pectoralis major flap markings inc Pectoralis major flap