A modified PMMC flap with improved vascular supply of random part of the flap
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 2
Abstract
Introduction: Pectoralis major myocutaneous flap is the work horse of head and neck reconstruction. It is still used by many surgeons and place a important role in head and neck reconstruction. The conventional technique of harvesting a PMMC flap can reach up to zygomatic arch and mobilising beyond this point is difficult and the risk of flap necrosis is high. Material and Methods: from Jan 2016 to 2016 we did four cases of modified PMMC. In that two patients were maxillectomy with resection of cheek skin and two were temporal bone resections. All patients were males and aged 50 to 80years old. Results: We did four consecutive modified PMMC flaps. This modified flap was able to reach parietal bone and floor of orbit. All four patients had primary closure of donor area with adequate mobilisation of chest wall flaps. One out of four flaps had partial flap necrosis. Conclusion: the technique described in the present study was able to improve the blood supply of the random part of PMMC flap as well as its length.
Authors and Affiliations
Siddappa K Thammaiah, Krishnappa Ramachandrappa
Keywords
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