Coverage of clavicular area by a pectoralis minor pedicle flap: anatomical study and description of three clinical cases.
Ann Plast Surg
; 63(4): 409-13, 2009 Oct.
Article
in En
| MEDLINE
| ID: mdl-19770700
ABSTRACT
As the data in the literature concerning the vascularization of the pectoralis minor were conflicting, we conducted a new anatomic study on cadavers preliminary to clinical application of a pedicle flap for clavicular coverage in 3 patients. Twenty flaps were dissected, yielding numerous anatomic variations. In all cases, the principal arteries penetrated the muscle in its upper part, either posteriorly or posterolaterally. This anatomic study justified the use of the pectoralis minor as a pedicle flap, with turnover just below the coracoid process. Accordingly, 3 cases of clavicular defects were treated successfully. Reports in the literature propose an adipofascial turnover flap or a pectoralis major flap for clavicular coverage. The pectoralis minor pedicle flap is easy to dissect and reproducible, involving minor esthetic sequelae and no functional complications. This flap, which has never been described in this application, would appear to be suitable for first-line treatment in this indication.
Full text:
1
Database:
MEDLINE
Main subject:
Pectoralis Muscles
/
Surgical Flaps
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Soft Tissue Injuries
/
Plastic Surgery Procedures
Type of study:
Diagnostic_studies
/
Etiology_studies
/
Risk_factors_studies
Limits:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
Ann Plast Surg
Year:
2009
Type:
Article
Affiliation country:
France