Reconstruction in the axilla with a pedicled pectoralis minor muscle flap

Authors: Shah, Rahul¹; Kang, Norbert²

Source: Annals of The Royal College of Surgeons of England, Volume 88, Number 4, July 2006 , pp. W9-W11(1)

Publisher: The Royal College of Surgeons of England

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Abstract:

Covering large defects in the axillary fossa can be challenging because of its complex shape. A variety of local skin, fasciocutaneous and musculocutaneous flaps have been described, with a number of inherent advantages and disadvantages. The use of the pectoralis minor muscle as a pedicled transposition flap has been described for immediate reconstruction of the breast, anterior shoulder reconstruction and the treatment of bronchopleural fistula. We now describe the use of a pedicled pectoralis minor muscle flap for soft tissue coverage of the axillary contents after wide excision of the axilla. This has not been previously described.

Document Type: Case report

DOI: 10.1308/147870806X95258

Affiliations: 1: Department of Plastic Surgery, St George's Hospital, London, UK 2: Department of Plastic Surgery, Mount Vernon Hospital, Northwood, Middlesex, UK

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