Operative technique: Pectoralis major flap with rib

Area of Science:

• Reconstructive Surgery
• Plastic Surgery
• Surgical Techniques

Background:

• The osteomyocutaneous pectoralis major flap, introduced in 1980, is a reconstructive option.
• It is suitable for patients needing bony reconstruction who are poor candidates for free flaps or reconstruction plates.

Purpose of the Study:

• To describe the indications for using the osteomyocutaneous pectoralis major flap.
• To detail the operative technique for harvesting this flap.

Main Methods:

• Review of indications for the osteomyocutaneous pectoralis major flap.
• Description of the surgical technique for flap harvesting.
• Inclusion of video demonstration of the operative technique.

Main Results:

• The osteomyocutaneous pectoralis major flap provides a single-stage reconstructive option.
• The flap yields good functional and cosmetic outcomes in appropriately selected patients.

Conclusions:

• The osteomyocutaneous pectoralis major flap is a viable reconstructive choice for specific patient groups.
• Understanding the indications and technique is crucial for successful outcomes.