Pectoralis Major Flap
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Skin island creation

Skin

Mark

Mark the line from the shoulder to the xiphoid and mark the island according to the size of the defect that has to be closed. Secondly mark the line that runs from midclavicular to the first line. This represents the branches from the acromiothoracic artery, which serves as the major feeding artery for the pectoralis muscle.

Incise

Incise the skin around the skin island. Lowest point should be on the 6th intercostal space.

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