Internal mammary artery perforator (IMAP) flap for tracheostoma reconstruction. Academic Article uri icon

Overview

abstract

  • BACKGROUND: Tracheostoma reconstruction requires a thin flap to avoid occlusion. Although the deltopectoral flap has been used as a rotational flap for decades, clinical use of a true internal mammary artery perforator island flap has not been reported. METHODS: In two cases, tracheostoma and anterior neck reconstruction were performed by use of an internal mammary artery perforator flap as a pedicled island flap. One flap was based on the perforator vessels in the second intercostal space and, the other, on the third. Donor sites were closed primarily in both patients. RESULTS: The internal mammary artery perforator flaps were well perfused in both cases. Both flaps healed uneventfully, with reliable reconstruction of the tracheal stoma and coverage of the anterior neck, although overall prognoses were poor. CONCLUSION: The internal mammary artery perforator flap is a relatively thin and reliable flap for tracheostoma and lower neck reconstruction.

publication date

  • August 1, 2006

Research

keywords

  • Carcinoma, Adenoid Cystic
  • Carcinoma, Squamous Cell
  • Glottis
  • Laryngeal Neoplasms
  • Neoplasm Recurrence, Local
  • Plastic Surgery Procedures
  • Surgical Flaps
  • Tracheostomy

Identity

Scopus Document Identifier

  • 33746323994

Digital Object Identifier (DOI)

  • 10.1002/hed.20386

PubMed ID

  • 16619279

Additional Document Info

volume

  • 28

issue

  • 8