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Microvascular salvage of a failing pectoralis major myocutaneous flap

โœ Scribed by W. M. Kuzon; P. J. Gullane; M. Ziesmann; D. Jewer


Book ID
104654695
Publisher
Springer
Year
1990
Tongue
English
Weight
280 KB
Volume
13
Category
Article
ISSN
1435-0130

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โœฆ Synopsis


While being elevated prior to reconstruction of a left-sided neck defect, a pectoralis major myocutaneous island flap was rendered ischemic by the inadvertant transection of the pectoral branch of the thoracoacromial artery. In order to save the flap, a microvascular repair between the distal end of this vessel and the ascending branch of the transverse cervical artery was performed. The flap was successfully revascularized and the patient went on to uneventful healing with 100% flap viability. This technique could be used following similar technical error in the elevation of any axial pattern flap providing that suitable vessels for repair were present.


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A consecutive group of 50 patients requiring pectoralis major myocutaneous flap reconstruction after head and neck surgery IS presented. The tissue defects for reconstruction are divided into five groups to identify any defects in which the flap is more likely to be at risk of complication. Other ri