| Vascular anatomy of the pectoralis major myocutaneous flap. | |
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MedLine Citation:
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PMID: 3940515 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In a series of 43 pectoralis major myocutaneous flaps (PMMF), five (12%) developed partial or total necrosis. The cause of necrosis was speculative in each case. To evaluate the problem, we studied the vascular supply to the PMMF, specifically, the lateral thoracic artery (LTA) and the pectoral branch of the thoracoacromial artery (TAA-PB). Ten aortic arch angiograms and 35 cadaver dissections were analyzed. The LTA and TAA-PB provided pedicles of comparable size in most cases, and in several the LTA was significantly larger than the TAA-PB. In one angiogram the TAA-PB was totally occluded, probably by atheromatous plaque. Peripheral vascular disease can affect myocutaneous flaps. We postulate that the LTA can nourish the PMMF by itself and sustain flaps that might otherwise develop necrosis. |
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Authors:
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P J Moloy; F E Gonzales |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Archives of otolaryngology--head & neck surgery Volume: 112 ISSN: 0886-4470 ISO Abbreviation: Arch. Otolaryngol. Head Neck Surg. Publication Date: 1986 Jan |
Date Detail:
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Created Date: 1986-01-23 Completed Date: 1986-01-23 Revised Date: 2006-03-28 |
Medline Journal Info:
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Nlm Unique ID: 8603209 Medline TA: Arch Otolaryngol Head Neck Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 66-9 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aortography Axillary Artery / anatomy & histology*, radiography Cadaver Humans Necrosis / etiology Pectoralis Muscles / blood supply*, surgery Surgical Flaps* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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