The combined composite pectoralis major and minor osteomusculocutaneous flap

Combining the pectoralis major and minor into a single flap can provide a much longer vascularized segment of bony rib than if the pectoralis major is used alone. This result is possible because of the periosteal vessels emerging from the origins of the pectoralis major and minor. Both muscular attachments are contiguous. The particular characteristics of this flap make it useful for reconstructive surgery of the head and neck when transposed locally, or for other distant regions when microsurgery is attempted.