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 |
|---|---|
| Pages (from-to) | 1168-1180 |
| Number of pages | 13 |
| Journal | Journal of Oral and Maxillofacial Surgery |
| Volume | 48 |
| Issue number | 11 |
| DOIs | |
| State | Published - Jan 1 1990 |
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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 journal › Article
}
TY - JOUR
T1 - An improved technique for development of the pectoralis major myocutaneous flap
AU - Marx, Robert
AU - Smith, Brian R.
PY - 1990/1/1
Y1 - 1990/1/1
N2 - 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.
AB - 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.
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UR - http://www.scopus.com/inward/citedby.url?scp=0025186253&partnerID=8YFLogxK
U2 - 10.1016/0278-2391(90)90533-8
DO - 10.1016/0278-2391(90)90533-8
M3 - Article
VL - 48
SP - 1168
EP - 1180
JO - Journal of Oral and Maxillofacial Surgery
JF - Journal of Oral and Maxillofacial Surgery
SN - 0278-2391
IS - 11
ER -