Transposition of pectoralis major muscle or myocutaneous flap in the repair of long-standing wound over the mandibular-cervico-thoracic area (Chinese).

1999 ◽  
Vol 104 (5) ◽  
pp. 1592-1593
Author(s):  
Khoo Boo-Chai
Keyword(s):  
Myocutaneous Flap ◽  
Pectoralis Major Muscle ◽  
Pectoralis Major

The New Tongue

1982 ◽  
Vol 90 (1) ◽  
pp. 58-68 ◽  
Author(s):  
John Conley ◽  
Michael E. Sachs ◽  
Robert B. Parke
Keyword(s):  
Malignant Tumors ◽  
Myocutaneous Flap ◽  
Pectoralis Major Muscle ◽  
Muscle Flap ◽  
Pectoralis Major ◽  
Nerve Supply ◽  
The Status ◽  
Peripheral Aspect ◽  
New Phase ◽  
Segmental Innervation

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.

Utilization of intestinal clamps for precise cutting of the pectoralis major muscle while raising a myocutaneous flap

2004 ◽  
Vol 118 (3) ◽  
pp. 221-222
Author(s):  
P. Chaturvedi
Keyword(s):  
Learning Curve ◽  
Head And Neck ◽  
Myocutaneous Flap ◽  
Pectoralis Major Muscle ◽  
Pectoralis Major ◽  
Shoulder Dysfunction

A variety of approaches have been employed for the reconstruction of head and neck defects and most of the techniques involve the use of arterialized vascular flaps alone, or in conjunction with other regional or local tissues. We frequently use a pectoralis major myocutaneous (PMMC) flap in our hospital in addition to other pedicled or free tissue transfers. A PMMC flap is a reliable flap with acceptable complications, needs a small learning curve, takes less time, and does not require additional investment (i.e. microscopes, loops etc). The disadvantages of the PMMC flap is that it has a restricted arc of rotation, gives a cosmetically unacceptable bulk in the neck, it is difficult in females and causes significant shoulder dysfunction. We have made a small improvization in the flap-raising technique which is helpful for the surgeon. This involves utilization of intestinal clamps to hold and cut the pectoralis major muscle.

Liberal Use of Pectoralis Major Muscle Flap Reduces Incidence of Pharyngocutaneous Fistula Following Salvage Laryngectomy

2010 ◽  
Vol 2 (3) ◽  
pp. 253-255
Author(s):  
Chris de Souza ◽  
Pankaj Chaturvedi ◽  
Shriketan Kale
Keyword(s):  
Simple Technique ◽  
Myocutaneous Flap ◽  
Pectoralis Major Muscle ◽  
Muscle Flap ◽  
Suture Line ◽  
Pectoralis Major ◽  
Pharyngocutaneous Fistula ◽  
Complication Rates ◽  
Pectoralis Major Muscle Flap ◽  
Salvage Laryngectomy

Abstract Patients undergoing salvage laryngectomy following chemoradiotherapy are more vulnerable to develop pharyngocutaneous fistula. This is due to fibrosis and reduced vascularity that results in poor postoperative healing. We are presenting a simple technique that can reduce this distressing complication. In patients where primary closure cannot be achieved, myocutaneous flap to reconstruct the pharynx reduces the incidence of postoperative complications. Similarly, buttressing of the suture line with the pectoralis major myofacial flap has been shown to reduce the fistula rates. Needless to say that pectoralis major muscle flap is a robust flap with acceptable complication rates.

Possibility of simultaneous transposition of segments of the pectoralis major muscle to restore flexion in the shoulder and elbow joints (clinical observation)

MedAlliance ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 61-68
Keyword(s):  
Anterior Part ◽  
Pectoralis Major Muscle ◽  
Elbow Flexion ◽  
Functional Results ◽  
Proximal Part ◽  
Deltoid Muscle ◽  
Pectoralis Major ◽  
Orthopedic Surgeons ◽  
Active Function ◽  
Head Neck

The pectoralis major is a widely used muscle in reconstruction surgery for replacement soft tissue defects of a head, neck, thorax, upper limbs and restoration of muscle active function. The peculiarities of anatomy of the pectoralis major makes it possible to divide the muscle into several segments with their own innervations and supply and use them independently from each other. This article describes the anatomy of the pectoralis major and the opportunity for clinical applications of different segments of this muscle. The authors demonstrate the result of the restoration of shoulder and elbow flexion in a patient with arthrogryposis due to simultaneous transfer of the proximal part of pectoralis major to the anterior part of the deltoid muscle and the distal part of pectoralis major to the biceps with good functional results. The article will be useful for plastic surgeons, orthopedic surgeons and physiotherapists.

scholarly journals Reconstruction with a pectoralis major myocutaneous flap after left first rib and clavicular chest wall resection for a metastasis from laryngeal cancer

2014 ◽  
Vol 64 (5) ◽  
pp. 294-297 ◽  
Author(s):  
Francesco Paolo Caronia ◽  
Alfonso Fiorelli ◽  
Fabio Zanchini ◽  
Mario Santini ◽  
Attilio Ignazio Lo Monte ◽  
...  
Keyword(s):  
Chest Wall ◽  
Laryngeal Cancer ◽  
Myocutaneous Flap ◽  
Pectoralis Major ◽  
Pectoralis Major Myocutaneous Flap ◽  
Chest Wall Resection ◽  
First Rib
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