Use of pectoralis major myocutaneous flap cover in a case of electric burn

Abstract

Reconstructive flap surgery is commonly done in patients that have tissue loss from trauma or burns. It involves transporting live healthy tissue from one part of the body to the area with tissue loss or loss of skeletal support. Myocutaneous flaps are often used when the area to be covered needs more bulk and increased blood supply. Since its development in 1947 for repairing cardiothoracic tissue defects, the pectoralis major myocutaneous flap has been widely utilized in head and neck reconstructive procedures. This flap offers a one-stage reconstruction and provides a large cutaneous space that can be navigated to fix defects involving two epithelial surfaces. Though done as salvage flap nowadays after failure of a free vascularized flap, PMMC flaps are continually performed in developing countries with limited medical sources. Primarily implemented to repair head and neck defects, the PMMC flap can be executed at other sites as well. In this case report, we present the application of PMMC flap to cover exposed acromion in high voltage electrical burn patient.