Internal mammary artery perforator propeller flap for contralateral mastectomy defect: A case report

Microsurgery ◽  
2016 ◽  
Vol 36 (6) ◽  
pp. 507-510 ◽  
Author(s):  
Utku C. Dölen ◽  
Neil S. Sachanandani ◽  
Thomas H. Tung
Head & Neck ◽  
2019 ◽  
Vol 41 (11) ◽  
pp. 3788-3797 ◽  
Author(s):  
Giovanni Almadori ◽  
Eugenio De Corso ◽  
Giuseppe Visconti ◽  
Aurora Almadori ◽  
Giovanni Di Cintio ◽  
...  

2021 ◽  
Vol 8 ◽  
Author(s):  
Nicholas Marsden ◽  
Lipi Shukla ◽  
Damien Grinsell

Patients that present with pharyngeal strictures and pharyngocutaneous fistulas in the context of previous reconstruction and post-operative radiotherapy often report significant morbidity and reduction in quality of life. Reconstruction of such defects present a substantial clinical challenge requiring the importation of unirradiated vascularized tissue to facilitate healing in a friable, fibrotic, and vessel depleted tissue bed. The authors present a case report demonstrating an adaptation of the internal mammary artery perforator (IMAP) flap for reliable reconstruction of circumferential pharyngeal defects with primary tension free closure of the donor site. This technique avoids the use of free tissue transfer in a hostile, irradiated neck. The tubed IMAP flap is an excellent option, serving the purposes of reconstruction as well as addressing the patient's presenting issues of a chronic sinus and pharyngeal stricture inhibiting oral intake.


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