Abstract
Background
Although free flaps are reliable for head and neck reconstructions, the pectoralis major flap (PMF) is still often used. In cases of a large PMF, the closure of the donor side can be a challenge.
Case report
A technique, originally developed for the treatment and prevention of abdominal ruptures after laparotomy, is presented as an alternative for closure of large donor side defects.
Conclusion
The use of Ventrofil® is an additional option for large donor side defects and especially to bridge the period of postoperative swelling. If utilized special attention must be paid to possible pressure necrosis of the underlying skin.
References
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Vartanian JG et al (2004) Pectoralis major and other myofascial/myocutaneous flaps in head and neck cancer reconstruction: experience with 437 cases at a single institution. Head Neck 26(12):1018–1023
Peeters G, Molderez C (2009) Primary closure of large inelastic wounds with the use of a tension relief bridging device. J Plast Reconstr Aesthet Surg 62(12):e639–e640
Penninckx FM et al (1979) Abdominal wound dehiscence in gastroenterological surgery. Ann Surg 189(3):345–352
Atweh NA et al (2002) Closure of large abdominal wounds with an adjustable suture-tension device. J Am Coll Surg 195(2):281–283
Acknowledgment
The authors would like to thank Mrs. Christa Giger for her great help with the photo documentation.
Conflict of Interest
The authors declare that there is no conflict of interest.
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Kruse, A.L., Luebbers, H.T., Grätz, K.W. et al. A new method for closure of large donor side defects after raising the pectoralis major flap. Oral Maxillofac Surg 15, 251–252 (2011). https://doi.org/10.1007/s10006-010-0245-6
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DOI: https://doi.org/10.1007/s10006-010-0245-6