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Double skin island pectoralis major myocutaneous flap with nipple‐areola complex preservation: A case report
Author(s) -
Espinosa Manuel H.,
Phillip John A.,
Khatri Vijay P.,
Amin Atul K.
Publication year - 1992
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.2880140612
Subject(s) - blood supply , anatomy , skin flap , areola , medicine , pectoralis major muscle , soft tissue , resection , surgery
A horizontal double skin island pectoralis major myocutaneous flap with preservation of nipple‐areola complex is described, a different modification used to reconstruct a complex defect following radical resection of a locally advanced gingival carcinoma. The skin islands are horizontally separated by a distance of 2.5 cm but rely on one vascular pedicle for their blood supply. The muscle between the skin islands provides the soft tissue bulk between the internal mucosal and external skin lining. The need for a separate segmental flap or a split‐thickness skin graft for mucosal lining was eliminated. © 1992 John Wiley & Sons, Inc.