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Pectoralis major myocutaneous flap
Ketan Patel1, Diana Jee-Hyun Lyu2, Deepak Kademani1
1Oral/Head and Neck Oncologic Surgery, Department of Oral and Maxillofacial Surgery, North Memorial Medical Center, 3300 Oakdale Avenue North, Minneapolis, MN 55422, USA.
Oral and Maxillofacial Surgery Clinics of North America
|August 4, 2014
Summary
Pectoralis major myocutaneous (PMMC) flaps are now primarily used as a salvage option in maxillofacial reconstruction after free flap failure or for patients unsuitable for free flaps. This review covers PMMC flap considerations, techniques, and outcomes.
Area of Science:
- Plastic Surgery
- Oral and Maxillofacial Surgery
- Reconstructive Surgery
Background:
- Pectoralis major myocutaneous (PMMC) pedicled flaps have seen decreased utilization due to advancements in vascularized free flaps.
- PMMC flaps are now often reserved for salvage or as an alternative for patients ineligible for free flap reconstruction.
Purpose of the Study:
- To review the use of PMMC flaps in oral and maxillofacial reconstruction.
- To discuss preoperative considerations, anatomy, surgical techniques, complications, advantages, and disadvantages of PMMC flaps.
Main Methods:
- Literature review focusing on PMMC flap applications in maxillofacial reconstruction.
- Discussion of anatomical considerations and surgical approaches.
- Analysis of potential complications and patient selection criteria.
Main Results:
- PMMC flaps remain a viable option for specific reconstructive scenarios in the maxillofacial region.
- Understanding of flap anatomy and surgical technique is crucial for successful outcomes.
- Complications are associated with both the flap harvest and recipient site.
Conclusions:
- PMMC flaps serve an important role as a salvage or alternative reconstructive method in oral and maxillofacial surgery.
- Careful preoperative assessment and surgical planning are essential for optimizing PMMC flap use.
- The review provides a comprehensive overview for surgeons considering PMMC flaps.
