Extended and pedicled pectoralis major flap for right orbitofrontal-parietal reconstruction following invasive squamous cell carcinoma resection
Introduction: The myocutaneous flap is often used in reconstruction of head and neck defects. However, it is restricted to the middle third of the face. Perforating artery dissection techniques allow further lengthening of the pedicle, thus achieving coverage of the orbitofrontal-parietal region....
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2019-03-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
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| Online Access: | http://www.rbcp.org.br/export-pdf/2358/en_v34n1a21.pdf |
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| author | Andres Ordenes Evensen Daniel Cazeto López Andrés Fernando Cánchica Carlos Fernando Goyeneche Leonardo Gobetti Renato Giannini Osvaldo Ribeiro Saldanha |
| author_facet | Andres Ordenes Evensen Daniel Cazeto López Andrés Fernando Cánchica Carlos Fernando Goyeneche Leonardo Gobetti Renato Giannini Osvaldo Ribeiro Saldanha |
| author_sort | Andres Ordenes Evensen |
| collection | DOAJ |
| description | Introduction: The myocutaneous flap is often used in reconstruction of head and neck defects. However, it is restricted to the middle third of the face. Perforating artery dissection techniques allow further lengthening of the pedicle, thus achieving coverage of the orbitofrontal-parietal region.
Case report: A 63-year-old male with a poorly-differentiated invasive squamous cell carcinoma presented with a final defect of 12.0 × 18.0 cm in the right orbitofrontal-parietal region, with dura mater, frontal sinus, and right upper orbit exposure after resection. We designed a pectoralis major flap, with a cutaneous island equaling the defect in dimensions, in the right parasternal region, from the fourth intercostal space to the subcostal region (extended). The pedicle was sectioned after 4 weeks. The coverage was effective, with no major complications, and a satisfactory aesthetic result.
Conclusion: This flap can be an excellent option for reconstruction of the upper third of the head when there are limitations to microsurgery. |
| format | Article |
| id | doaj-art-fe059e011f2d40da83f117c8d7647daa |
| institution | Kabale University |
| issn | 1983-5175 2177-1235 |
| language | English |
| publishDate | 2019-03-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj-art-fe059e011f2d40da83f117c8d7647daa2025-08-20T03:58:03ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352019-03-01340113814210.5935/2177-1235.2019RBCP0021Extended and pedicled pectoralis major flap for right orbitofrontal-parietal reconstruction following invasive squamous cell carcinoma resectionAndres Ordenes Evensen0Daniel Cazeto López1Andrés Fernando Cánchica2Carlos Fernando Goyeneche3Leonardo Gobetti4Renato Giannini5Osvaldo Ribeiro Saldanha6Serviço de Cirurgia Plástica Osvaldo Saldanha, Cirurgia Plástica Reconstrutiva e Estética, Santos, SP, BrazilHospital Santa Casa, Serviço de Cirurgia Plástica, Santos, SP, BrazilServiço de Cirurgia Plástica Osvaldo Saldanha, Cirurgia Plástica Reconstrutiva e Estética, Santos, SP, BrazilServiço de Cirurgia Plástica Osvaldo Saldanha, Cirurgia Plástica Reconstrutiva e Estética, Santos, SP, BrazilServiço de Cirurgia Plástica Osvaldo Saldanha, Cirurgia Plástica Reconstrutiva e Estética, Santos, SP, BrazilServiço de Cirurgia Plástica Osvaldo Saldanha, Cirurgia Plástica Reconstrutiva e Estética, Santos, SP, BrazilServiço de Cirurgia Plástica Osvaldo Saldanha, Cirurgia Plástica Reconstrutiva e Estética, Santos, SP, BrazilIntroduction: The myocutaneous flap is often used in reconstruction of head and neck defects. However, it is restricted to the middle third of the face. Perforating artery dissection techniques allow further lengthening of the pedicle, thus achieving coverage of the orbitofrontal-parietal region. Case report: A 63-year-old male with a poorly-differentiated invasive squamous cell carcinoma presented with a final defect of 12.0 × 18.0 cm in the right orbitofrontal-parietal region, with dura mater, frontal sinus, and right upper orbit exposure after resection. We designed a pectoralis major flap, with a cutaneous island equaling the defect in dimensions, in the right parasternal region, from the fourth intercostal space to the subcostal region (extended). The pedicle was sectioned after 4 weeks. The coverage was effective, with no major complications, and a satisfactory aesthetic result. Conclusion: This flap can be an excellent option for reconstruction of the upper third of the head when there are limitations to microsurgery.http://www.rbcp.org.br/export-pdf/2358/en_v34n1a21.pdfcutaneous neoplasiasquamous cell neoplasiasurgical flapsmyocutaneous flappectoral muscles |
| spellingShingle | Andres Ordenes Evensen Daniel Cazeto López Andrés Fernando Cánchica Carlos Fernando Goyeneche Leonardo Gobetti Renato Giannini Osvaldo Ribeiro Saldanha Extended and pedicled pectoralis major flap for right orbitofrontal-parietal reconstruction following invasive squamous cell carcinoma resection Revista Brasileira de Cirurgia Plástica cutaneous neoplasia squamous cell neoplasia surgical flaps myocutaneous flap pectoral muscles |
| title | Extended and pedicled pectoralis major flap for
right orbitofrontal-parietal reconstruction following
invasive squamous cell carcinoma resection |
| title_full | Extended and pedicled pectoralis major flap for
right orbitofrontal-parietal reconstruction following
invasive squamous cell carcinoma resection |
| title_fullStr | Extended and pedicled pectoralis major flap for
right orbitofrontal-parietal reconstruction following
invasive squamous cell carcinoma resection |
| title_full_unstemmed | Extended and pedicled pectoralis major flap for
right orbitofrontal-parietal reconstruction following
invasive squamous cell carcinoma resection |
| title_short | Extended and pedicled pectoralis major flap for
right orbitofrontal-parietal reconstruction following
invasive squamous cell carcinoma resection |
| title_sort | extended and pedicled pectoralis major flap for right orbitofrontal parietal reconstruction following invasive squamous cell carcinoma resection |
| topic | cutaneous neoplasia squamous cell neoplasia surgical flaps myocutaneous flap pectoral muscles |
| url | http://www.rbcp.org.br/export-pdf/2358/en_v34n1a21.pdf |
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