An improved technique for development of the pectoralis major myocutaneous flap

Robert Marx, Brian R. Smith

Research output: Contribution to journalArticle

22 Citations (Scopus)

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 languageEnglish
Pages (from-to)1168-1180
Number of pages13
JournalJournal of Oral and Maxillofacial Surgery
Volume48
Issue number11
DOIs
StatePublished - Jan 1 1990

Fingerprint

Myocutaneous Flap
Clavicle
Maxilla
Blood Vessels
Neck
Thorax
Muscles
Skin

ASJC Scopus subject areas

  • Surgery
  • Dentistry(all)

Cite this

An improved technique for development of the pectoralis major myocutaneous flap. / Marx, Robert; Smith, Brian R.

In: Journal of Oral and Maxillofacial Surgery, Vol. 48, No. 11, 01.01.1990, p. 1168-1180.

Research output: Contribution to journalArticle

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