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Muscles of the Shoulder

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The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
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Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

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Lateral Pectoralis Major Muscle Flap for Axillary Defect Obliteration.

Chad K Wheeler¹, Janelle D Sousa¹, Stephanie R Moline²

¹Plastic Surgery Northwest, Spokane, Wash.

Plastic and Reconstructive Surgery. Global Open

|December 10, 2020

Summary

This summary is machine-generated.

A lateral pectoralis major muscle flap can be used to fill axillary defects after breast cancer surgery. This technique improves contour and covers lymphovenous anastomoses, aiding in reconstructive procedures.

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Area of Science:

Plastic Surgery
Oncology
Surgical Anatomy

Background:

Axillary defects can occur after breast cancer surgery, impacting patient aesthetics and recovery.
Reconstruction of these defects is crucial for optimal outcomes.
Existing methods may not fully address contour deformities or protect vital structures.

Purpose of the Study:

To describe the utility of a lateral pectoralis major muscle flap for preemptive obliteration of axillary defects.
To evaluate the flap's application in breast cancer patients undergoing reconstructive surgery.
To highlight the flap's role in improving axillary contour and covering lymphovenous anastomoses.

Main Methods:

Utilizing a lateral pectoralis major muscle flap based on the lateral branch of the pectoral pectoral component of the thoracoacromial artery.
Application of the flap during reconstructive surgery following breast cancer treatment.
Focus on preemptive defect obliteration and coverage of specific surgical sites.

Main Results:

The lateral pectoralis major muscle flap provides a reliable method for filling axillary voids.
The flap effectively improves the aesthetic contour of the axilla post-surgery.
Successful coverage of lymphovenous anastomoses was achieved, potentially aiding lymphatic recovery.

Conclusions:

The lateral pectoralis major muscle flap is a valuable reconstructive option for axillary defects in breast cancer patients.
This technique offers functional and aesthetic benefits, enhancing surgical outcomes.
The flap's consistent vascular supply ensures its reliability in complex reconstructive scenarios.