A salvage maneuver for the caudal part of the pectoralis major muscle in the reconstruction of superior thoracic wall defects: The pectoralis kite flap

Temiz, Gökhan; Şirinoğlu, Hakan; Yeşïloğlu, Nebil; Sarıcı, Murat; Çardak, Murat Ersin; Demirhan, Recep; Bozkurt, Mehmet Abdussamet

doi:10.1016/j.bjps.2015.01.015

Cited by 7 publications

(4 citation statements)

References 24 publications

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“…[10] In our cases, contrary to literature data, following reconstruction of lesions localized in infraclavicular region, remaining segment of pectoralis muscle was transferred over acromioclavicular artery to infraclavicular region. [11] When defect extended beyond middle third of segment and pectoralis muscle was not sufficient to close the defect per se, latissimus dorsi muscle flap was also used to achieve durable reconstruction. As a result of resection, pectoralis muscle becomes nonfunctional, and in this case, use of ipsilateral latissimus dorsi muscle results in dysfunctional shoulder joint.…”

Section: Discussionmentioning

confidence: 99%

Multidisciplinary Approach and Clinical Algorithm in Resection and Reconstruction for Chest Wall Tumor

Demirhan¹

2017

South Clin Ist Euras

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Objective: The aim of this study was to retrospectively review files of patients who had tumor resection and reconstructive surgery performed by thoracic and plastic surgeons due to chest wall tumor, and to create reconstruction algorithm. Methods:Records of 45 patients who underwent surgery for chest wall tumor between 2006-2014 were included in this study. Data including age, sex, tumor localization, defect size, quantity of resected costa and bone, and method of skeletal and soft tissue reconstruction were gathered retrospectively from patient files. Results:The largest defect was 325 cm 2 and smallest was 36 cm 2 . Titanium mesh was used in 54% of patients, while prolene mesh was used in 32%. Pectoralis kite flap (n=14), latissumus dorsi muscle-skin muscle flap (n=12), latissumus dorsi muscle flap and pectoral kite flap (n=5), vertical rectus abdominus skin muscle flap (n=6), omentum flap (n=3), transvers rectus abdominus skin muscle flap (n=3), free anterolateral thigh flap (n=2), and local rotation flap (n=1) were used for soft tissue reconstruction. Conclusion:Algorithm for soft and skeletal tissue reconstruction was created in accordance with obtained data.

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Section: Discussionmentioning

confidence: 99%

Multidisciplinary Approach and Clinical Algorithm in Resection and Reconstruction for Chest Wall Tumor

Demirhan¹

2017

South Clin Ist Euras

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“…Thoracic wall defects that require reconstruction are mainly a sequela of infections such as mediastinitis or empyema, radiation ulcers, malignant tumor resections, or keloid removal. To cover the thoracic wall, multiple muscle flaps such as the latissimus dorsi (LD), 7 rectus abdominis (RAM), 8 and pectoralis major (PM) muscles 9 are available, and, if not, the omentum 10 has a secondary role. However, today these have been supplanted by muscle preserving perforator flaps including the MPAP flap, thoracodorsal artery perforator (TAP) flap, 11 DIEP flap, 12 IMAP flap, 13 and its variant "the deltopectoral" (DP) flap.…”

Section: Indications For Propeller Flapsmentioning

confidence: 99%

Propeller Flaps for the Anterior Trunk

Ogawa

2020

Semin Plast Surg

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Various types of propeller flaps from multiple donor sites can be used to reconstruct anterior trunk skin defects. The actual selection depends on the condition and location of the recipient site, especially if it is to be the chest or abdomen that requires attention. Before surgery commences, it is always important to use an imaging analyses such as computed tomography angiography to examine and identify perforators that could perfuse a perforator-pedicled propeller flap (PPPF), as it is the most multifaceted imaging technique. Clusters of perforators that can be commonly used for the “workhorse” PPPFs for the thoracic and abdominal regions are the internal mammary artery perforator, the musculophrenic artery perforator, and the deep inferior epigastric perforator. These perforators are reliable and large enough to support long and large propeller flaps that will cover most defects in this region, while still allowing primary donor-site closure.

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“…It has many advantages for the reconstruction of the region as its nearness to the region, provision of both muscle, and skin for reconstruction. Pectoral muscle basically divides into three parts as clavicular part, sternal part, and costal part [14] . The pectoralis major muscle originates from the medial part of the clavicle, anterior surface of the sternum, from the cartilages of all the true ribs and from the aponeurosis of the abdominal external oblique muscle.…”

Section: Introductionmentioning

confidence: 99%

Surgical anatomy of the pectoral flaps, their importance in head and neck reconstruction

Ahmed Elhag Mustafa

2024

IJAMRS

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The pectoralis major is a broad muscle that originates from the medial part of the clavicle, anterior surface of the sternum, from the cartilages of all the true ribs and from the aponeurosis of the abdominal external oblique muscle. The study was conducted on 10 cadavers (7 male and 3 female). These specimens were dissected and examined to study the gross anatomical characteristics of the pectoralis major muscle. The dimensions of the pectoralis major muscle and its surface area were measured in all the cadavers. The branching pattern of the thoracoacromial vessels was recorded. The pedicle length and caliper were measured using Vernier calipers. In all twenty dissected specimens, the pectoral and deltoid branches of the thoracoacomial artery were identified. The average size of the elevated flap of the pectoralis major muscle was 10 cm×6.5 cm. In this study, the average diameter of the thoacoacomial artery was 2.3 mm, and along its course, the thoracacomial artery gave rise to two terminal branches the pectoral and deltoid arteries that supply the pectoralis major muscle and the surrounding structures. The average length of the deltoid pedicle was 6.8 cm and the average length of the pectoral pedicle was 7.5 cm. The current study focuses on the anatomical features of the pectoralis major muscle and its blood supply to increase the success rate of operations in clinical practice.

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A salvage maneuver for the caudal part of the pectoralis major muscle in the reconstruction of superior thoracic wall defects: The pectoralis kite flap

Cited by 7 publications

References 24 publications

Multidisciplinary Approach and Clinical Algorithm in Resection and Reconstruction for Chest Wall Tumor

Multidisciplinary Approach and Clinical Algorithm in Resection and Reconstruction for Chest Wall Tumor

Propeller Flaps for the Anterior Trunk

Surgical anatomy of the pectoral flaps, their importance in head and neck reconstruction

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