The Study of Skin Shrinkage in Pectoralis Major Myocutaneous Flap

Authors

  • Attcha Kavownark Chonburi Hospital
  • Sittichai Tantipasawasin Chonburi Hospital

Keywords:

Pectoralis major myocutaneous flap, PMMF, Skin shrinkage

Abstract

A study of skin shrinkage in pectoralis major myocutaneous flap in 10 patients who were harvested flap to close head and neck defects was conducted in Department of oral and maxillofacial surgery, Chonburi hospital during January 2019 to December 2019. Ten patients were 8 males and 4 females. The averages of shrinkage of flap from flap margin was 10.82 (±6.71) mm (17%) in vertical line and 17.47 (±8.38) mm (17.9%) in horizontal line.The averages of shrinkage of flap from using instrument to marked reference points was 9.96 (±4.34) mm (19.7%) in vertical line and 6.33 (±4.55) mm (13.8%) in horizontal line. According to flap design should be larger than the size of defects. Furthermore, regarding age and gender also are the factors that might effect to shrinkage of flap. Thus, the further research is necessary in the future.

Author Biographies

Attcha Kavownark, Chonburi Hospital

Department of Oral and Maxillofacial Surgery

Sittichai Tantipasawasin, Chonburi Hospital

Department of Oral and Maxillofacial Surgery

References

Patel K, Lyu DJ, Kademani D. Pectoralis major myocutaneous flap. Oral Maxillofacia Surg Clin North Am 2014;26:421-6.

Ariyan S. The Pectoralis major myocutaneousflap. A versatile flap for reconstruction in the head and neck. Plast Reconstr Surg 1979;63:73-81.

Ariyan S. Further experiences with the Pectora-lis major myocutaneous flap for the imme-diaterepair of defects from excisions of head and neck cancers. Plast Reconstr Surg 1979;64: 605-12.

Hueston JT, McConchie IH. A compound Pectoral flap. Aust N Z J Surg 1986;38:61–3.

Arlyan S, Cuono CB. Use of the Pectoralis major myocutaneous flap for reconstruction of large cervical, facial or cranial defects. Am J Surg 1980;140:503-6.

Wei WI, Lam KH, Wong J. The true Pectoralis major myocutaneous island flap: an anatom-ical study. Br J Plast Surg 1984;37:568-73.

Sasaki CT, Gardiner LJ, Carlson RD, Vris T. The extended Pectoralis major flap in head and neck reconstruction. Otolaryngol Head Neck Surg 1986;94:274-8.

Kruse AL, Luebbers HT, Obwegeser JA, BredellM, Grätz KW. Evaluation of the Pectoralis majorflap for reconstructive head and neck surgery.Head Neck Oncol 2011;3:3-12.

Shah JP, Haribhakti V, Loree TR, Sutaria P. Com-plications of the Pectoralis major myocuta-neous flap in head and neck reconstruction. Am J Surg 1990;160:352-5.

Sawhney CP, Monga HL. Wound Contractionin rabbits and the effectiveness of skin graftsin preventing it. Br J Plast Surg 1971;24: 233-7.

Ken GW, Hons MBBS. The Pectoralis Major Myocutaneous Flap. J Reconstr Microsurg2013;29:449-56.

Wadwongtham W, Isipradit P, Supanakorn S. The pectoralis major myocutaneous flap: ap-plications and complications in head and neck reconstruction. J Med Assoc Thai 2004;87: 95-9.

Tangjaturonrasme N, Vatanasapt P, Bychkov A. Epidermiology of head and neck cancer in Thailand. Asia Pac J Clin Oncol 2018;14: 16-22.

ทรงศักดิ์ บัวเบิก. การศึกษาค่าเฉลี่ยการหดตัวของเนื้อเยื่อบริเวณผนังหน้าอกในการผ่าตัดย้ายเนื้อเยื่อบริเวณผนังหน้าอกไปซ่อมแซมอวัยวะที่เสียหายจากการผ่าตัดมะเร็งบริเวณศีรษะและลำคอ [อินเทอร์เน็ต].2550 [เข้าถึงเมื่อ 29 ธันวาคม 2561]. เข้าถึงได้จาก: https://www.rcot.org/download/resident_10_07.pdf

Sumino H, Ichikawa S, Abe M, Endo Y, NakajimaY, Ishikawa O, et al. Effects of aging and postmen-opausal hypoestrogenism on skin elasticity and bone mineral density in Japanese women. Endocr J 2004;51:159-64

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Published

2020-09-02 — Updated on 2026-02-13

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