DOI:

10.37988/1811-153X_2022_3_98

Free neuromuscular graft of the small pectoral muscle: a preclinical topographic-anatomical study

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Authors

  • A.A. Kulakov 1, Academician of the Russian Academy of Sciences, PhD in Medical Sciences, professor, chairman of the dissertation council
    ORCID: 0000-0001-7214-2129
  • R.A. Izhaev 1, postgraduate at the Reconstructive maxillofacial and plastic surgery department
  • A.R. Dolova 1, postgraduate at the Reconstructive maxillofacial and plastic surgery department
  • 1 Central Research Institute of Dental and Maxillofacial Surgery, 119021, Moscow, Russia

Abstract

During the anatomical study, all the necessary characteristics of an autograft of the pectoralis minor muscle were studied, namely, the patterns of blood supply to the pectoralis minor muscle were identified and described, the dominant arterial and venous vessels were identified, the features of the innervation of the pectoralis minor muscle were described, was described the flap design. The innervation of the pectoralis minor muscle is known to be multisegmental and is provided by n. pectoralis medialis and n. pectoralis lateralis. A significant variability in arterial blood supply to the pectoralis minor muscle was noted, we described 3 types of artericel blood supply to the pectoralis minor muscle. It is worth noting that there is also some variability in venous vessels. According to the results of the study, a harvesting method for the pectoralis minor free muscle flap was properly developed.

Key words:

facial nerve, facial palsy, free tissue transfer, pectoralis minor free flap, facial reanimation

For Citation

[1]
Kulakov A.A., Izhaev R.A., Dolova A.R. Free neuromuscular graft of the small pectoral muscle: a preclinical topographic-anatomical study. Clinical Dentistry (Russia).  2022; 25 (3): 98—103. DOI: 10.37988/1811-153X_2022_3_98

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Received

June 25, 2022

Accepted

July 22, 2022

Published on

October 30, 2022