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Pectoralis major myocutaneous flap.

Eric R Carlson1

  • 1Department of Oral and Maxillofacial Surgery, University of Tennessee Medical Center, 1930 Alcoa Highway, Suite 335, Knoxville, TN 37920, USA. ecarlson@mc.utmck.edu

Oral and Maxillofacial Surgery Clinics of North America
|December 20, 2007
PubMed
Summary

The pectoralis major myocutaneous flap offers reliable soft tissue reconstruction for oral and maxillofacial defects. This review covers its anatomy, surgical technique, and potential complications.

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Area of Science:

  • Plastic Surgery
  • Oral and Maxillofacial Surgery
  • Reconstructive Surgery

Background:

  • Pectoralis major myocutaneous flaps are widely used for head and neck reconstruction.
  • Reconstruction of complex oral and maxillofacial defects requires versatile soft tissue options.

Purpose of the Study:

  • To review the pectoralis major myocutaneous flap for oral and maxillofacial reconstruction.
  • To detail preoperative considerations, surgical anatomy, technique, and complications.

Main Methods:

  • Literature review of pectoralis major myocutaneous flap applications.
  • Analysis of surgical techniques and anatomical landmarks.
  • Discussion of potential complications and management.

Main Results:

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  • The pectoralis major myocutaneous flap is a versatile and predictable option.
  • Detailed understanding of surgical anatomy is crucial for flap success.
  • Potential complications include flap failure, donor site morbidity, and functional deficits.

Conclusions:

  • The pectoralis major myocutaneous flap is a valuable tool for oral and maxillofacial reconstruction.
  • Careful preoperative planning and surgical execution minimize complications.
  • This flap provides reliable soft tissue transfer for complex defects.