Pectoralis Major Flap
This Pectoralis Major Flap course will teach you:
- How to create a pectoralis major flap used for head and neck reconstruction
Special attention is paid to the following hazards you may encounter during the Pectoralis Major Flap:
- Medial perforator transection
- Vascular pedical injury
- Adequate tunnel creation
- Injury to perforating vessels during flap tunneling
With the following tips you might perform the Pectoralis Major Flap even better:
- Preservation of skin perforators
- Gaining flap length
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Step by step
Skin island creation
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 the skin around the skin island. Lowest point should be on the 6th intercostal space.