The segmental pectoralis major free flap: Anatomical features of its vascular pedicle

Eveline M.L. Corten*, Pascal P.A. Schellekens, Ronald L.A.W. Bleys, J. Joris Hage, Moshe Kon

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

11 Citations (Scopus)

Abstract

Background: The pectoralis major muscle may be suited for free transplantation of a segment of the muscle. We investigated the length and diameter of its vascular pedicle to determine its feasibility. Methods: The length of the pedicle, its arterial diameter, and its entry point into the muscle were determined in 17 cadaveric flaps. Results: The pedicle length up to the medial border of the pectoralis minor muscle averaged 6.6 cm. The mean external arterial diameter was 1.8 mm, and the venous diameter was consistently larger. The vascular pedicle consistently entered the muscle lateral to the mid-point of, and a mean of, 8.8 cm caudal to the clavicular line. Conclusion: The vascular length and diameter are sufficient for microvascular anastomosis. Although an anatomic landmark for the cranial border of the flap could not be defined, the sternocostal part of the pectoralis major muscle may potentially be used as a segmental free flap.

Original languageEnglish
Pages (from-to)82-86
Number of pages5
JournalAnnals of Plastic Surgery
Volume56
Issue number1
DOIs
Publication statusPublished - Jan 2006
Externally publishedYes

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