Operative technique for the preparation of pectoralis major myocutaneous flap

概要

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The surgical procedure of lifting of a PMMC flap and points of particular attention are described. The axial vessels can be better preserved, and hemorrhage reduced, by sufficiently undermining the incised skin and lifting the entire greater pectoral muscle. The operative maneuvers around the axial vessels must be carried out carefully without using an electric cautery. Also, soft tissues must be removed thoroughly from the clavicle, which is the pivot point, and care must be exercised during and after the end of the procedure not to compress the clavicular region, where the vascular pedicle is reversed. PMMC flap shows small variation in the location of the axial vessels behind the muscle, and can be lifted safety by the procedure described here.
特定非営利活動法人日本頭頸部外科学会の論文