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Acta Medica Medianae
Vol. 39
No 3, 2000
UDK 61
YU ISSN 0365-4478

 




Contact:
Milan VIŠNJIĆ
Surgery Clinic of the Clinic Center, Niš


APPLICATION OF THE PECTORALIS MAJOR LOBE IN THE CLINIC PRACTICE

 

Milan VIŠNJIĆ and Predrag KOVAČEVIĆ

 

Surgery Clinic of the Clinic Center, Niš

 

In the period from 1985 to 1998 at the Surgery Clinic, Nis, the pectoralis major lobe was applied to 40 patients with a large skin defect that could hardly be reconstructed by the traditional methods. The myocutaneous lobe was used with 38 patients (95%), the osteomyocutaneous lobe in one patient (2,5%) and the muscular pectoralis major lobe in one patient (2,5%). In all the patients, the defect was a consenquence 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 an osteomyocutaneous lobe applied), in the neck (11 patients), in the thoracic cavity (8 patients - one patient had a muscular lobe with the skin transplant applied) and in the shoulders (5 patients). The secondary defect is directly sutured in all of them. In one patient the necrosis of the whole lobe due to a hematoma is registered, while in 3 patients a partial lobe necrosis (due to infection) has been taken care of by necrectomy and a secondary suture. In all the other patients the lobe has been comletely 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 and shoulders. The technique of lifting the lobe is relatively simple while the complications are rare.

 

Key words: Pectoralis major lobe, great skin defect, clinic practice