Reconstruction of sternal defects after sternotomy with postoperative osteomyelitis, using a unilateral pectoralis major advancement muscle flap

Rehabilitation of major resections of the tongue has always posed a serious problem. This paper presents the feasibility and rationale of rehabilitating partial glossectomies by the use of the pectoralis major myocutaneous flap and the fabrication of a “new tongue” by the use of this flap. The criteria for these techniques in benign and malignant tumors of the tongue are outlined. The segmental innervation of the pectoralis major muscle from a variety of three to five nerve branches permits the development of a skin-muscle flap that may be transposed with its nerve supply intact or totally denervated, depending upon the status of the hypoglossal nerves and tongue in the operative field. This presents the possibility of transposing a skin-muscle flap into a glossal wound with a completely intact nerve supply where the new flap is under constant instruction in its new physiologic environment. It also presents the possibility of neurotization of the denervated section of the muscle flap by axones from the intact segment of tongue. A third possibility is the fabrication of a “new tongue” by the transfer of the hypoglossal nerves into the denervated segment of the peripheral aspect of the myocutaneous flap. This variety and combination of rehabilitative techniques introduces a new phase into the rehabilitation of the tongue.

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Pectoralis Major Muscle Flap in the Treatment of Post CABG Sternal Defects

International Journal of Cardiovascular Research ◽

10.4172/2324-8602.1000117 ◽

2013 ◽

Vol 02 (01) ◽

Author(s):

Vijay YB ◽

Pramod AM ◽

Susant Mishra ◽

Sukumar HM

Keyword(s):

Pectoralis Major Muscle ◽

Muscle Flap ◽

Pectoralis Major ◽

Pectoralis Major Muscle Flap

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Esophageal Reconstruction With a Skin-Grafted Pectoralis Major Muscle Flap

Archives of Otolaryngology - Head and Neck Surgery ◽

10.1001/archotol.1982.00790590041012 ◽

1982 ◽

Vol 108 (11) ◽

pp. 719-722 ◽

Cited By ~ 19

Author(s):

Y. Murakami ◽

S. Saito ◽

T. Ikari ◽

S. Haraguchi ◽

K. Okada ◽

...

Keyword(s):

Pectoralis Major Muscle ◽

Muscle Flap ◽

Pectoralis Major ◽

Esophageal Reconstruction ◽

Pectoralis Major Muscle Flap

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Split pectoralis major muscle flap reconstruction after clavicular-manubrial resection

The Annals of Thoracic Surgery ◽

10.1016/s0003-4975(99)00177-0 ◽

1999 ◽

Vol 67 (5) ◽

pp. 1507-1508 ◽

Cited By ~ 17

Author(s):

Kenton J Zehr ◽

Richard F Heitmiller ◽

Stephen C Yang

Keyword(s):

Pectoralis Major Muscle ◽

Muscle Flap ◽

Pectoralis Major ◽

Flap Reconstruction ◽

Pectoralis Major Muscle Flap

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Reconstructive Versatility of the Pectoralis Major Myocutaneous Flap

Otolaryngology ◽

10.1177/019459988008800409 ◽

1980 ◽

Vol 88 (4) ◽

pp. 368-372 ◽

Cited By ~ 4

Author(s):

Victor V. Strelzow ◽

Frederick Finseth ◽

Willard E. Fee

Keyword(s):

Myocutaneous Flap ◽

Muscle Flap ◽

Clinical Applications ◽

Pectoralis Major ◽

Pectoralis Major Myocutaneous Flap ◽

Vascular Pedicle ◽

Skin Paddle ◽

Advantages And Disadvantages ◽

Lateral Muscle ◽

Deltopectoral Flap

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.

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