✦ LIBER ✦

Internal mammary artery perforator (IMAP) flap for tracheostoma reconstruction

✍ Scribed by Peirong Yu; Paul Roblin; Pierre Chevray

Publisher: John Wiley and Sons
Year: 2006
Tongue: English
Weight: 331 KB
Volume: 28
Category: Article
ISSN: 1043-3074
DOI: 10.1002/hed.20386

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

Background.

Tracheostoma reconstruction requires a thin flap to avoid occlusion. Although the deltopectoral flap has been used as a rotational flap for decades, clinical use of a true internal mammary artery perforator island flap has not been reported.

Methods.

In two cases, tracheostoma and anterior neck reconstruction were performed by use of an internal mammary artery perforator flap as a pedicled island flap. One flap was based on the perforator vessels in the second intercostal space and, the other, on the third. Donor sites were closed primarily in both patients.

Results.

The internal mammary artery perforator flaps were well perfused in both cases. Both flaps healed uneventfully, with reliable reconstruction of the tracheal stoma and coverage of the anterior neck, although overall prognoses were poor.

Conclusion.

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