Pectoralis major myocutaneous flap

Ketan Patel; Diana Jee-Hyun Lyu; Deepak Kademani

doi:10.1016/j.coms.2014.05.010

Pectoralis major myocutaneous flap

Oral Maxillofac Surg Clin North Am. 2014 Aug;26(3):421-6. doi: 10.1016/j.coms.2014.05.010.

Authors

Ketan Patel¹, Diana Jee-Hyun Lyu², Deepak Kademani³

Affiliations

¹ Oral/Head and Neck Oncologic Surgery, Department of Oral and Maxillofacial Surgery, North Memorial Medical Center, 3300 Oakdale Avenue North, Minneapolis, MN 55422, USA. Electronic address: Ketan.Patel@northmemorial.com.
² Division of Oral and Maxillofacial Surgery, University of Minnesota, 515 Delaware Street Southeast, Minneapolis, MN 55455, USA.
³ Oral/Head and Neck Oncologic Surgery, Department of Oral and Maxillofacial Surgery, North Memorial Medical Center, 3300 Oakdale Avenue North, Minneapolis, MN 55422, USA.

PMID: 25086697
DOI: 10.1016/j.coms.2014.05.010

Abstract

There has been a gradual shift of the utilization of pectoralis major myocutaneous (PMMC) pedicled flaps with the current advancements in the successful development of vascularized free flaps. Currently, PMMC flaps are considered a salvage mechanism after failure of a free vascularized flap or used as the reconstructive option for patients who are considered poor candidates for free flaps. This review discusses the PMMC flap for reconstruction of the oral and maxillofacial region, from preoperative considerations and anatomy to surgical technique and possible complications. Advantages and disadvantages for such flaps are also discussed.

Keywords: Myocutaneous; Pectoralis major; Pedicled flaps; Soft tissue reconstruction; Surgical flaps.

Publication types

Review

MeSH terms

Head / surgery*
Humans
Myocutaneous Flap* / blood supply
Neck / surgery*
Pectoralis Muscles / blood supply
Pectoralis Muscles / transplantation*
Plastic Surgery Procedures / methods*
Skin Transplantation / methods*