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Journal of Maxillofacial and Oral Surgery

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01-06-2016 | Technical Note

Preservation of Aesthetics of Breast in Pectoralis Major Myocutaneous Flap Donor Site in Females

Authors: Sandeep Mehta, Juhi Agrawal, Tapaswini Pradhan, Ashish Goel, Kapil Kumar, A. K. Dewan, S. Veda Padma Priya

Published in: Journal of Maxillofacial and Oral Surgery | Issue 2/2016

Abstract

Background and Objectives

In females, raising a pectoralis major myocutaneous flap is challenging and primary closure of flap donor site causes breast deformity with medial displacement of nipple areola complex. To avoid this distortion, a new method of donor site closure is devised.

Methods

A parasternal skin paddle which has better vascularity is planned while doing a pectoralis major myocutaneous flap in females and a lateral flap planned along the lateral breast curve is used to cover the donor site. The lateral flap donor site is primarily closed. This prevents medial displacement of nipple areola complex.

Results

A total of 47 patients underwent donor site flap closure technique. Minor complications in form of marginal necrosis near the tip of the flap were observed in 10.6 % patients. The donor breast of all these PMMC flaps had good contour and aesthetic positioning of nipple areola complex.

Conclusion

Donor site morbidity with respect to breast distortion has not been studied so far in case of females so our study stands unique in this aspect. Using this technique of planning PMMC in females ensures a skin paddle of better vascularity and restores the breast aesthetics.

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Title: Preservation of Aesthetics of Breast in Pectoralis Major Myocutaneous Flap Donor Site in Females
Authors: Sandeep Mehta
Juhi Agrawal
Tapaswini Pradhan
Ashish Goel
Kapil Kumar
A. K. Dewan
S. Veda Padma Priya
Publication date: 01-06-2016
Publisher: Springer India
Published in: Journal of Maxillofacial and Oral Surgery / Issue 2/2016
Print ISSN: 0972-8279
Electronic ISSN: 0974-942X
DOI: https://doi.org/10.1007/s12663-015-0820-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Preservation of Aesthetics of Breast in Pectoralis Major Myocutaneous Flap Donor Site in Females

Abstract

Background and Objectives

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background and Objectives

Methods

Results

Conclusion

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