Online citations, reference lists, and bibliographies.
← Back to Search

Coverage Of Clavicular Area By A Pectoralis Minor Pedicle Flap: Anatomical Study And Description Of Three Clinical Cases

L. Bourdais, F. Bellier-Waast, P. Perrot, J. Delpierre, M. Pannier, F. Duteille
Published 2009 · Medicine

Cite This
Download PDF
Analyze on Scholarcy
Share
As the data in the literature concerning the vascularization of the pectoralis minor were conflicting, we conducted a new anatomic study on cadavers preliminary to clinical application of a pedicle flap for clavicular coverage in 3 patients. Twenty flaps were dissected, yielding numerous anatomic variations. In all cases, the principal arteries penetrated the muscle in its upper part, either posteriorly or posterolaterally.This anatomic study justified the use of the pectoralis minor as a pedicle flap, with turnover just below the coracoid process. Accordingly, 3 cases of clavicular defects were treated successfully.Reports in the literature propose an adipofascial turnover flap or a pectoralis major flap for clavicular coverage. The pectoralis minor pedicle flap is easy to dissect and reproducible, involving minor esthetic sequelae and no functional complications. This flap, which has never been described in this application, would appear to be suitable for first-line treatment in this indication.
This paper references
10.1002/(SICI)1098-2752(1998)18:4<286::AID-MICR14>3.0.CO;2-U
Facial nerve palsy: Which flap? Microsurgical, anatomical, and functional considerations
A. Bové (1998)
10.1097/00006534-198510000-00015
Use of Pectoralis Minor Muscle in Immediate Reconstruction of the Breast
C. Manstein (1985)
10.1097/01.PRS.0000105690.74659.95
Arterial and Venous Anatomical Features of the Pectoralis Minor Muscle Flap Pedicle
A. Macquillan (2004)
10.2535/OFAJ1936.69.6_321
Arterial supply in the human pectoralis minor muscle.
A. Moriya (1993)
10.1097/00006534-198502000-00011
The Pectoralis Minor Vascularized Muscle Graft for the Treatment of Unilateral Facial Palsy
D. Harrison (1985)
Anterior shoulder reconstruction with pectoralis minor flap
RS Palmers (1988)
10.1302/0301-620X.33B2.228
Pectoralis minor transplant for paralysis of the serratus anterior.
J. P. Chaves (1951)
10.1097/00006534-198803000-00022
Anterior shoulder reconstruction with pectoralis minor muscle flap.
R. S. Palmer (1988)
10.1097/00006534-199706000-00016
Analysis of 100 Cases of Free‐Muscle Transplantation for Facial Paralysis
J. Terzis (1997)
10.1016/0007-1226(95)90148-5
An adipofascial turnover flap for soft tissue cover around the clavicle.
M. N. Tarar (1995)
10.1308/147870806X95258
Reconstruction in the axilla with a pedicled pectoralis minor muscle flap.
R. Shah (2006)
10.2106/00004623-200012000-00007
Rotation of the Clavicular Portion of the Pectoralis Major for Soft-Tissue Coverage of the Clavicle: An Anatomical Study and Case Report*
G. Williams (2000)
Précis D’anatomie Clinique: Membre Supérieur
P Kamina (2002)
10.1097/00006534-198905000-00001
Pectoralis minor: a unique muscle for correction of facial palsy.
J. Terzis (1989)
10.1097/01.PRS.0000080711.95414.05
Does the Removal of Pectoralis Minor Impair the Function of Pectoralis Major?
S. Scevola (2003)
10.1097/00006534-199404000-00029
Subpectoral gliding tissue flap.
W. Millesi (1994)



This paper is referenced by
Semantic Scholar Logo Some data provided by SemanticScholar