Question
In the patient as shown below, chest wall closure has been achieved by using which flap?
| A. |
Transversely oriented rectus abdominis muscle flap |
| B. |
Vertically oriented rectus abdominis muscle flap |
| C. |
Pectoralis major myocutaneous flap |
| D. |
Serratus anterior muscle flap |
Show Answer
|
Correct Answer � C Explanation |
 |
Answer- C. Pectoralis major myocutaneous flap
- The most significant impact on head and neck reconstruction was the introduction of the pectoralis myocutaneous flap.
- Based on the pectoral branch of the thoracoacromial artery, the artery pierces the pectoralis muscle from the deep surface.
- The pectoralis flap is the most commonly used pedicle flap. One or both of the pectoralis major muscles may be used to close a defect
- The pectoralis flap can be transposed into the mediastinum based on the more commonly used thoracoacromial pedicle or as a turnover flap based on internal mammary perforators.
- This muscle usually is the first choice in flap selection because of its proximity and relative ease of harvest.