An improved technique for development of the pectoralis major myocutaneous flap

Robert E. Marx, Brian R. Smith

Research output: Contribution to journalArticle

23 Scopus citations


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.

Original languageEnglish (US)
Pages (from-to)1168-1180
Number of pages13
JournalJournal of Oral and Maxillofacial Surgery
Issue number11
StatePublished - Nov 1990


ASJC Scopus subject areas

  • Surgery
  • Oral Surgery
  • Otorhinolaryngology

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