A novel technique of raising a pectoralis major myocutaneous flap through the skin paddle incision alone |
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Authors: | Chaturvedi Pankaj Pathak Kumar A Pai Pathamesh S Chaukar Devendra A Deshpande Mandar S D'Cruz Anil K |
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Institution: | Department of Surgical Oncology, Head and Neck Service, Tata Memorial Hospital, Mumbai, India. pankajch37@yahoo.com |
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Abstract: | A good reconstruction should not only be functionally and aesthetically sound at the recipient site but also cause least possible cosmetic aberration of the donor site. The pectoralis major myocutaneous (PMMC) flap continues to be one of the most commonly used flap for head and neck reconstruction in this part of the world. Conventionally, once the skin paddle over the pectoralis major muscle is marked, a line is drawn joining the outer edge of the skin flap extending to the apex of the anterior axillary skin fold or midclavicular point to expose the underlying pectoralis major muscle and harvest the flap. We intend to suggest a novel technique, in which the pectoralis major muscle is exposed by raising the skin around the skin paddle incision alone without making any further extension. |
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Keywords: | pectoralis major myocutaneous flap skin paddle technique oral region cancer reconstruction |
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