The extended myocutaneous pectoralis major flap: A new tool for the successful coverage of the lower third in sternal dehiscence
نویسندگان
چکیده
Sir, Sternal dehiscence is one of the most common complications after median sternotomy, with an incidence of 0.2%–10%.[1‐3] The pectoralis major (PM) flap has achieved considerable success for its treatment, and many authors advocate its utilisation as first choice for sternal dehiscence reconstruction.[3] However, its deficiency in providing coverage to the lower third of the sternum is a commonly stated fact.[2,3]
منابع مشابه
Sternotomy wounds: rectus flap versus modified pectoral reconstruction.
BACKGROUND Infected sternotomy wounds occur in 0.5 to 8.4 percent of open heart operations. They are complex problems, with a mortality rate of 8.1 to 14.8 percent despite flap closure. For closure, the pectoralis major flap has had considerable success. However, in providing coverage to the lower third of the sternum, it may be deficient. Modifications to improve closure have included a rectus...
متن کاملApplication of Unilateral Pectoralis Major Muscle Flap in the Treatment of Sternal Wound Dehiscence
OBJECTIVE This study aims to report the use of the unilateral pectoralis major muscle flap for the treatment of the sternal wound dehiscence. METHODS A retrospective study including patients who underwent unilateral pectoralis major muscle flap was performed for the treatment of sternotomy dehiscence due to coronary artery bypass, valve replacement, congenital heart disease correction and med...
متن کاملUse of the pectoralis major fasciocutaneous flap in the treatment of post sternotomy dehiscence: a new approach Utilização do retalho fasciocutâneo do músculo peitoral maior na deiscência de esternotomia: uma nova abordagem
Conflict of interest: none. ABSTRACT Objective: To describe a new surgical technique for the treatment dehiscence after median thoracotomy transsternal using fasciocutaneous flap composed of the pectoralis major fascia. Methods: Between January 2009 and December 2010, from 1,573 patients submitted to coronary artery bypass graft, 21 developed wound dehiscence after sternotomy and were treated w...
متن کاملUse of the pectoralis major fasciocutaneous flap in the treatment of post sternotomy dehiscence: a new approach.
OBJECTIVE To describe a new surgical technique for the treatment dehiscence after median thoracotomy transsternal using fasciocutaneous flap composed of the pectoralis major fascia. METHODS Between January 2009 and December 2010, from 1,573 patients submitted to coronary artery bypass graft, 21 developed wound dehiscence after sternotomy and were treated with bilateral pectoralis major muscle...
متن کاملExtended vertical lower trapezius island myocutaneous flap versus pectoralis major myocutaneous flap for reconstruction in recurrent oral and oropharyngeal cancer.
BACKGROUND The purpose of this study was to compare the use of an extended vertical lower trapezius island myocutaneous flap (TIMF) and a pectoralis major myocutaneous flap (PMMF). METHODS A total of 39 patients with advanced recurrent oral and oropharyngeal squamous cell carcinoma (SCC) underwent salvage surgery followed by placement of either an extended lower vertical TIMF or PMMF for reco...
متن کامل