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Related Experiment Videos

Split pectoralis major myocutaneous flap

W D Morain, N A Geurkink

    Annals of Plastic Surgery
    |November 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    This study presents a modified pectoralis major myocutaneous flap technique for head and neck reconstruction. The vertically split flap successfully covered a large intraoral defect, demonstrating its utility in complex cases.

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    Area of Science:

    • Head and Neck Surgery
    • Reconstructive Surgery
    • Plastic Surgery

    Background:

    • Head and neck defects often require complex reconstructive solutions.
    • Pectoralis major myocutaneous flaps are a versatile option for reconstruction.
    • Large intraoral defects pose significant reconstructive challenges.

    Observation:

    • A large, U-shaped intraoral defect was present, involving the tonsillar region, alveolar ridge, floor of mouth, soft palate, and buccal mucosa.
    • A segmental defect of the mandible measured 4 cm.
    • The pectoralis major myocutaneous island flap was vertically split for resurfacing.

    Findings:

    • A single, vertically split pectoralis major myocutaneous flap was successfully utilized to reconstruct the extensive intraoral defect.

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  • The flap provided adequate coverage for the complex defect, preserving the majority of the tongue.
  • The surgical approach addressed both soft tissue and segmental bony defects.

    • Implications:

    • Vertical splitting of a myocutaneous flap is a viable modification for resurfacing large and complex head and neck defects.
    • Understanding the vascular supply and limitations of split myocutaneous flaps is crucial for successful reconstruction.
    • This technique offers a potential solution for challenging intraoral reconstructions, preserving function and form.