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February 1992

Myofascial Flaps in Head and Neck Reconstruction

Author Affiliations

Tripler Army Medical Center Hawaii

Arch Otolaryngol Head Neck Surg. 1992;118(2):122. doi:10.1001/archotol.1992.01880020014003

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At the annual meeting of the American Academy of Otolaryngology—Head and Neck Surgery in Kansas City, Mo, Natasha Mirza, MD, and James K. Pitcock, MD, Department of Otolaryngology—Head and Neck Surgery, University of California, Irvine, presented the experience in performing myocutaneous and myofascial flap reconstructions. The report covered the period from July 1988 through December 1990. Highlighted was the myofascial modification of the axial pattern myocutaneous flap, primarily the pectoralis major flap. The use of the myofascial modification extends the applicability of the basic flaps and solves the problem of too much bulk. The technique was found to be as easy as the normal myocutaneous flap technique, if not easier. Special mention was made concerning the tendency of flap contraction (up to 50%), which was significantly more than that seen with the standard myocutaneous flap. The authors were very satisfied with the results of the myofascial flap variation, finding no

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