Acta Medica Medianae (May 2000)
APPLICATION OF THE PECTORALIS MAJOR LOBE IN THE CLINIC PRACTICE
Abstract
In the period from 1985 to 1998 at the Surgery Clinic, Niš, the pectoralis majorlobe was applied to 40 patients with a large skin defect that could hardly bereconstructed by the traditional methods. The myocutaneous lobe was used with 38patients (95%), the osteomyocutaneous lobe in one patient (2,5%) and the muscularpectoralis major lobe in one patient (2,5%). In all the patients, the defect was aconsenquence of the operative treatment of the skin or the subcutaneous tissue tumor,namely, in the orbit area (2 patients), in the face (14 patients - one patient had anosteomyocutaneous lobe applied), in the neck (11 patients), in the thoracic cavity (8patients - one patient had a muscular lobe with the skin transplant applied) and in theshoulders (5 patients). The secondary defect is directly sutured in all of them. Tn onepatient the necrosis of the whole lobe due to a hematoma is registered, while in 3patients a partial lobe necrosis (due to infection) has been taken care of by necrectomyand a secondary suture. In all the other patients the lobe has been completely accepted.The island-like pectoralis major muscular-cutaneous lobe can be successfully used for reconstructing great skin defect in the area of the face, neck, thoracic cavity andshoulders. The technique of lifting the lobe is relatively simple while the complicationsare rare.
