Indications

The pectoralis major flap is one of the most common flaps used for head and neck reconstruction. It is used to reconstruct through-and-through oropharyngeal,

Figure 4 A harvested and transferred pectoralis major musculocutaneous flap. Note the harvest site (A) and the lateral incision for access to the vascular pedicle. The dotted arrow represents the subcutaneous course of the transferred skin paddle (B). Note also that the lateral access incision does not violate the territory of the deltopectoral flap (C), in case this flap is needed in the future.

Figure 4 A harvested and transferred pectoralis major musculocutaneous flap. Note the harvest site (A) and the lateral incision for access to the vascular pedicle. The dotted arrow represents the subcutaneous course of the transferred skin paddle (B). Note also that the lateral access incision does not violate the territory of the deltopectoral flap (C), in case this flap is needed in the future.

lateral skull (temporal bone), neck skin, noncircumferential esophageal, and mandibular defects. It may be considered the flap of choice for posterior mandibular composite defects, tongue replacement in total glossectomy-laryngeal defects, significant base of tongue defects, and noncircumferential esophageal defects. The pectoralis flap is not easily formed into a tube, making it unsuitable for circumferential esophageal defect reconstruction. Attempts lead to strictures and intractable dysphagia.

How To Reduce Acne Scarring

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Acne is a name that is famous in its own right, but for all of the wrong reasons. Most teenagers know, and dread, the very word, as it so prevalently wrecks havoc on their faces throughout their adolescent years.

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