A perspective on the role of the pectoralis major flap in oral and maxillofacial oncology surgery

Oral Surgery ◽  
2014 ◽  
Vol 7 (3) ◽  
pp. 130-142 ◽  
Author(s):  
C. Avery
Keyword(s):  
Pectoralis Major ◽  
Pectoralis Major Flap

Role of pectoralis major flap in resource limited settings (developing world): A case report of huge neck cancer done in Tanzania

2021 ◽  
Vol 2 (2) ◽  
Author(s):  
Victor Mashamba ◽  
◽  
Shaban Mawala ◽  
Emmerenceana Mahulu ◽  
Ashfaq Abdulshakoor ◽  
...  
Keyword(s):  
Cell Carcinoma ◽  
Treatment Options ◽  
Neck Region ◽  
Pectoralis Major ◽  
Adjuvant Radiation ◽  
Pectoralis Major Flap ◽  
Thoracoacromial Artery ◽  
Resource Limited ◽  
Skin Cancers

Skin cancers are common in head and neck region particularly Basal cell carcinoma and Squamous cell carcinoma. Treatment options includes wide local excision with neck dissection followed by adjuvant radiation/chemo/chemoradiation. We report a case of a huge skin cancer of the neck about 8.5 cm in its greatest dimensions and reconstructive techniques of the defect using pectoralis major flap in a 61-years old Albino patient, what’s important is good understanding of anatomy and surgical land marks to identify the thoracoacromial artery which is the main feeder to the flap. Reconstruction was successful with acceptable morbidity and the patient was sent for chemoradiation with no reported recurrence. Presentation from this case demonstrates that the pectoralis major flap still remains the ‘workhorse’ of reconstruction in Tanzania. It is advocated to be used in resource limited countries, effectively with acceptable morbidity and results.

Role of Pectoralis major flap in carotid artery protection

1995 ◽  
Vol 47 (4) ◽  
pp. 288-292
Author(s):  
R. S. Kakani ◽  
D. A. Tandon ◽  
S. Bahadur
Keyword(s):  
Carotid Artery ◽  
Pectoralis Major ◽  
Pectoralis Major Flap

scholarly journals Limited Bilateral Advancement of the Sternocostal Head of Pectoralis Major for Sternal Reconstruction: Preserving the Axillary Fold

2017 ◽  
Vol 102 (3-4) ◽  
pp. 189-195
Author(s):  
Warren M. Rozen ◽  
Ken G. W. Teo ◽  
Gausihi Sivarajah ◽  
Rafael Acosta
Keyword(s):  
Pectoralis Major ◽  
High Rate ◽  
Pectoralis Major Flap ◽  
Limited Sample ◽  
Wound Coverage ◽  
Caudal Portion ◽  
Sternal Reconstruction ◽  
The Right ◽  
Good Cosmesis ◽  
Rate Of Success

The introduction of well-vascularized flaps for infected sternotomy wound reconstruction has improved mortality rates dramatically. Multiple variations of the pectoralis major flap have been described in this context. However, unresolved limitations of this flap include poor cosmesis and problematic coverage of the inferior third of the sternotomy wound. We describe an approach to address these issues. The humeral attachments are preserved and bilateral muscles are advanced in a limited fashion. The left sternocostal head is advanced medially and rotated anticlockwise, using this portion to fill the upper half of the sternum while the caudal portion of the right pectoralis muscle is used as a turnover flap at the lower half of the wound. In all 25 patients, the anterior axillary fold was preserved bilaterally and the infection completely resolved. Complications included 3 cases of hematoma, 2 cases of coagulopathy, and 1 late bone sequestrum (aseptic). Although the study had a limited sample size, we had a high rate of success and few complications. With the preservation of bilateral axillary folds, good cosmesis, and adequate wound coverage, we recommend this modification of the pectoralis major flap in even complicated cases of mediastinitis.

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