Internal mammary artery perforator flap for head and neck reconstruction |
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Authors: | N. Gopalakrishna Iyer Jonathan R. Clark Bruce G. Ashford |
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Affiliation: | 1. Sydney Head and Neck Cancer Institute, Sydney Cancer Centre, Royal Prince Alfred Hospital, New South Wales, Australia;2. Department of Surgical Oncology, National Cancer Centre, Singapore;3. Department of Head and Neck Surgery, Liverpool Hospital, Liverpool, New South Wales, Australia |
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Abstract: | Background: The internal mammary artery perforator (IMAP) flap is a useful modification of the classic deltopectoral flap that has a number of important roles in head and neck reconstruction. Methods and results: In this report, we describe the technique used to plan and raise the flap and demonstrate its use in three different clinical scenarios. Results and conclusions: The IMAP flap is a pedicled fasciocutaneous flap that is based on single or multiple internal mammary artery perforators. As such, it provides thin pliable tissue with a wide arc of rotation that is suitable for cutaneous, pharyngeal and tracheostomal reconstruction. Moreover, the flap is well‐vascularised, reliable and the donor site can be closed primarily. |
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Keywords: | deltopectoral IMAP pedicled flap tracheostome |
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