Pectoral Muscle Flap With V-Y Skin Paddle for Covering Sternal Defects

2012 ◽  
Vol 94 (5) ◽  
pp. e131-e133 ◽  
Author(s):  
Martin Molitor ◽  
Martin Šimek ◽  
Vladimír Lonský ◽  
Martin Kaláb ◽  
Jiří Veselý ◽  
...  
2000 ◽  
Vol 13 (03) ◽  
pp. 141-145 ◽  
Author(s):  
J. Gardner ◽  
R. Allnutt ◽  
R. A. S. White ◽  
S. J. Baines

SummaryThe vascular anatomy of the deep pectoral muscle in the cat was defined by contrast radiography of twelve deep pectoral muscles from six feline cadavers. The deep pectoral, muscle in the cat was found to have a type V vascular pattern with a dominant pedicle based on the lateral thoracic artery, with a contribution from the external thoracic artery, and secondary segmental pedicles arising from the internal thoracic artery, with numerous anastomoses between these two vascular fields. Following division of the sternal origin and elevation of the muscle flap, perfusion of the entire muscle from the dominant pedicle was identified. Transposition of the muscle flap within a wide arc of rotation was possible to include the chest wall, sternum, axilla and medial forelimb. This study demonstrates the potential suitability of the deep pectoral muscle flap for use in reconstructive surgery.The feline deep pectoral muscle has a type V vascular pattern, with a dominant pedicle based on the lateral thoracic artery, with a contribution from the external thoracic artery, and secondary segmental pedicles arising from the internal thoracic artery A clinically useful flap, supplied by the dominant pedicle, may be developed by incising the sternal origin of the muscle.


1980 ◽  
Vol 88 (4) ◽  
pp. 368-372 ◽  
Author(s):  
Victor V. Strelzow ◽  
Frederick Finseth ◽  
Willard E. Fee

The pectoralis major myocutaneous flap is presented in its two basic forms: a muscle flap carrying a skin paddle and the continuous skin-muscle flap technique. The pertinent anatomy of the enveloping fascial planes is reviewed, stressing the increased latitude of safety afforded by elevating the vascular pedicle from the undersurface of the lateral muscle edge. The advantages of a deltopectoral flap outline in approaching the formation of the skin-muscle paddle are introduced. Clinical applications, advantages, and disadvantages are discussed.


Head & Neck ◽  
2018 ◽  
Vol 40 (11) ◽  
pp. 2399-2408 ◽  
Author(s):  
Seong Oh Park ◽  
Yoosung Son ◽  
Il-Kug Kim ◽  
Ung Sik Jin ◽  
Hak Chang

2019 ◽  
pp. 817-822
Author(s):  
Peter C. Neligan

The rectus femoris muscle is an important but expendable knee extensor. It is a bipennate muscle with a dense and strong fascia on its undersurface. This feature makes it extremely attractive for the repair of defects of the lower abdominal wall and groin as a pedicled flap. It is centrally located between the vastus medialis and vastus lateralis muscles. It is generally used as a pedicled muscle and usually taken as a muscle flap without a skin paddle. The muscle is then grafted. Following harvest, the extensor tendons need to be centralized and repaired for a distance of 6–8 cm above the knee. In many situations this flap has been superseded by the ALT flap.


Author(s):  
Wubin Bai ◽  
Hexia Guo ◽  
Wei Ouyang ◽  
Yang Weng ◽  
Changsheng Wu ◽  
...  

Abstract Background Current near-infrared spectroscopy (NIRS)-based systems for continuous flap monitoring are limited to flaps which carry a cutaneous paddle. As such, this useful and reliable technology has not previously been applicable to muscle-only free flaps where other modalities with substantial limitations continue to be utilized. Methods We present the first NIRS probe which allows continuous monitoring of local tissue oxygen saturation (StO2) directly within the substance of muscle tissue. This probe is flexible, subcentimeter in scale, waterproof, biocompatible, and is fitted with resorbable barbs which facilitate temporary autostabilization followed by easy atraumatic removal. This novel device was compared with a ViOptix T.Ox monitor in a porcine rectus abdominus myocutaneous flap model of arterial and venous occlusions. During these experiments, the T.Ox device was affixed to the skin paddle, while the novel probe was within the muscle component of the same flap. Results The intramuscular NIRS device and skin-mounted ViOptix T.Ox devices produced very similar StO2 tracings throughout the vascular clamping events, with obvious and parallel changes occurring upon vascular clamping and release. The normalized cross-correlation at zero lag describing correspondence between the novel intramuscular NIRS and T.Ox devices was >0.99. Conclusion This novel intramuscular NIRS probe offers continuous monitoring of oxygen saturation within muscle flaps. This experiment demonstrates the potential suitability of this intramuscular NIRS probe for the task of muscle-only free flap monitoring, where NIRS has not previously been applicable. Testing in the clinical environment is necessary to assess durability and reliability.


2021 ◽  
Vol 7 (12) ◽  
pp. 111682-111688
Author(s):  
João Carlos Alves da Cunha ◽  
Felipe Silva Ferreira Mattos ◽  
Leonardo Terra de Freitas Camargo Torquato ◽  
Mariana Miranda Espírito Santo e Silva ◽  
Pedro Rocha do Carmo Polonio ◽  
...  

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