Pectoralis Major Flap

Pectoralis Major Flap

ThisĀ 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

You might also be interested in:

Keystone Perforator Island Flap

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.

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