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Edward A. Razim, MD; Stanton A. Friedberg, MD.

Arch Otolaryngol. 1970;91(3):216-218.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

VARIABLE ARIABLE amounts of tissue covering are often required for the closure of anterior neck defects and for the protection of the common and internal carotid arteries, especially when surgery is being performed on previously-irradiated tissues. Occasionally, as in wound dehiscence or extensive trauma, the need is immediate. The purpose of this paper is to describe a nondelayed technique of medial pectoral flap rotation based on the internal mammary system.

Bilateral nondelayed lateral pectoral pedicle flaps have been described by Ogura.¹ Conley² described nondelayed acromiopectoral flaps; he also commented on medianpedicled anterior chest flaps and stated that these cannot be tailored as large as the laterally pedicled chest flap and will not reach into the upper limits of the neck. Bakamjian,³ in 1965, based a pharyngoesophageal reconstructive pedicle flap on the internal mammary rather than the thoracoacromial system. Each flap depends upon the perforating branches of the . . . [Full Text PDF of this Article]

Author Affiliations
Chicago

From the Department of Otolaryngology, Presbyterian-St. Luke's Hospital, in affiliation with the University of Illinois College of Medicine.

Footnotes
Accepted for publication Sept 4, 1969.

Read in part before the Chicago Laryngological and Otological Society, March 4, 1969.

Reprint requests to 3340 S Oak Park Ave, Berwyn, III 60403 (Dr. Razim).

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