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-Case Reports-
Pectoralis Major Myocutaneous Flap Revisited as a Workhorse for Reconstruction for Defects in the Upper Arm: A Case Report
1Department of Plastic and Reconstructive Surgery, Chigasaki Municipal Hospital, Kanagawa, Japan
2Department of Plastic and Reconstructive Surgery, Yokohama City University School of Medicine, Kanagawa, Japan
3Department of Orthopedic Surgery, Yokohama City University School of Medicine, Kanagawa, Japan
4Department of Molecular Pathology, Yokohama City University Graduate School of Medicine, Kanagawa, Japan
5Department of Oral and Maxillofacial Surgery, Yokohama City University Graduate School of Medicine, Kanagawa, Japan
6Department of Breast Surgery, Chigasaki Municipal Hospital, Kanagawa, Japan
Many previous reviews of the literature have described the grafts and techniques for management of defects in the upper arm. However, the alternatives are limited in cases where some conventional flaps are not available and the nearby donor vessels have been previously sacrificed for free flaps. A 77-year-old man presented with a tumor in the right upper arm just above the axilla. The patient had already undergone surgeries for three recurrences of low-grade myxofibrosarcoma, the primary site of which was around the right scapula. The pectoralis major musculocutaneous flap was used for the defect caused by tumor resection, since there was no other available option. An acceptable result was obtained without any major complications. Thus, the pectoralis major myocutaneous flap may be a candidate for reconstruction of defects in the proximal part of the upper arm.
J Nippon Med Sch 2023; 90: 288-293
Keywords
pectoralis major myocutaneous flap, upper-arm reconstruction, myxofibrosarcoma
Correspondence to
Taro Mikami, Department of Plastic and Reconstructive Surgery, Chigasaki Municipal Hospital, 5-15-1 Honson, Chigasaki, Kanagawa 253-0042, Japan
zeong3@mac.com
Received, October 9, 2021
Accepted, December 15, 2021
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