Association of pectoralis major myocutaneous flap and inverted T mammoplasty for reconstruction of extensive chest wall defect: case report

▪ ABSTRACT

Introduction:

In 1977, based on anatomical studies by McCraw et al., the pectoralis major muscle began to be used as an island myocutaneous flap. The present article describes a case of reconstruction of a defect in the anterior wall of the right hemithorax using the pectoralis major myocutaneous flap in an ipsilateral island.

Case Report:

AES, 66 years old, male, underwent wide resection of a recurrent infiltrative basal cell carcinoma measuring 13.0 x 8.0 cm in the right parasternal region. The myocutaneous flap was transposed through subcutaneous tunneling and the scars were positioned in the shape of an inverted T mammoplasty.

Conclusion:

This surgical tactic is easy to perform for surgeons accustomed to breast reconstruction, has a short surgical time, and has satisfactory aesthetic-functional results.

Keywords:

Skin neoplasms - Myocutaneous flap - Mammaplasty - Pectoralis muscles - Carcinoma, basal cell

Institution: Hospital Governador Celso Ramos, Florianópolis, SC, Brazil.

Publikationsverlauf

Eingereicht: 23. Oktober 2023

Angenommen: 04. Februar 2024

Artikel online veröffentlicht:
20. Mai 2025

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