Abstract
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 language | English (US) |
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Pages (from-to) | 1168-1180 |
Number of pages | 13 |
Journal | Journal of Oral and Maxillofacial Surgery |
Volume | 48 |
Issue number | 11 |
DOIs | |
State | Published - Nov 1990 |
ASJC Scopus subject areas
- Surgery
- Oral Surgery
- Otorhinolaryngology