Renovating the Old Fashion: The "Functional Technique" for Harvesting Pectoralis Major Muscle Flap in Head and Neck Reconstruction

Remo Accorona; Shadi Awny; Enrico Fazio; Aurel Nebiaj; Luca Calabrese

doi:10.1007/s12663-019-01319-5

Renovating the Old Fashion: The "Functional Technique" for Harvesting Pectoralis Major Muscle Flap in Head and Neck Reconstruction

J Maxillofac Oral Surg. 2021 Mar;20(1):154-156. doi: 10.1007/s12663-019-01319-5. Epub 2019 Dec 17.

Authors

Remo Accorona¹, Shadi Awny², Enrico Fazio^{3

4}, Aurel Nebiaj¹, Luca Calabrese¹

Affiliations

¹ Division of Otorhinolaryngology, "San Maurizio" Hospital, Bolzano, Italy.
² Department of Surgical Oncology, Oncology Center, Mansoura University, Mansoura, Egypt.
³ Department of Otorhinolaryngology, University of Insubria, Varèse, Italy.
⁴ Division of Otorhinolaryngology, Department of Biotechnology and Life Sciences, ASST Sette Laghi, Ospedale di Circolo e Fondazione Macchi, University of Insubria, Via Guicciardini 9, 21100 Varèse, Italy.

Abstract

Although free flaps are widely recognized as a gold standard, pectoralis major muscle flap (PMMF) still remains a valuable workhorse in head and neck reconstruction. The technique we describe in the present paper allows to harvesting the PMMF with an accurate and complete isolation of the pedicle, sparing the superior sternum-acromion muscular fibers.

Keywords: Head and neck reconstruction; Pectoralis major muscle flap; Thoracoacromial pedicle.