What is a myocutaneous flap?

Myocutaneous flaps are compound flaps with a solitary vascular supply incorporating skin, subcutaneous tissue, fascia, and the underlying muscle. Once a pedicled or free-tissue transfer is performed, the newly transferred flap begins to incorporate into the surrounding tissue.

What is Sternocleidomastoid flap?

The sternocleidomastoid muscle has long been used for local reconstruction in the head and neck. It. remains an incredibly versatile flap by providing bulk, an area of hairless skin with excellent color. match for the face, and opportunity to transpose periosteum or bone for correcting head and neck. defects.

Where is the myocutaneous flap?

Local Flaps of the Head and Neck The pectoralis myocutaneous flap is based on the thoracoacromial artery (pectoral branch), which exits the subclavian artery at the midportion of the clavicle and courses medial to the insertion of the pectoralis minor tendon.

What is a myofascial flap?

The myofascial flap variation carries no skin paddle and is utilized primarily to close small mucosal defects, to protect major vascular structures, and to support primary mucosal closure in a patient at increased risk of wound breakdown (prior radiation, diabetic, weight loss).

What is blood supply to sternocleidomastoid?

The main blood supply of the sternocleidomastoid muscle enters it above from branches of the superior thyroid, posterior auricular and occipital arteries. The lower third is supplied by a branch from the transverse cervical artery and at this level there are few if any musculocutaneous branches.

What does the sternocleidomastoid attach to?

Sternocleidomastoid Attachments The SCM converges into one point and inserts on the lateral surface of the mastoid process and the nuchal line of the occipital bone. The manubrium is part of the sternum and forms the anterior wall of the thoracic cage; it also serves as the attachment point for several muscles.

How long does a pectoral flap take to heal?

You will need to follow the following guidelines until your incisions completely heal. This is usually 6 weeks after your surgery. Your doctor will tell you how long to follow these guidelines for. Keep your surgical sites out of the sun.

How long does it take a muscle flap to heal?

It takes approximately two months for swelling and bruising to go away and up to two years for tissues to heal. Patients should plan to wear a surgical bra for six to eight weeks and to refrain from heavy exercise and certain sexual activities during this time.

What is a pectoralis major flap?

The pectoralis major flap comprises the pectoralis major muscle, with or without overlying skin, and may include the under- lying ribs. It has an axial blood supply and is based superiorly on the pectoral branch of the thoracoacromial artery. Rib may be included to bridge mandibular defects.