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pectoral flap

Eiji Hirai, Shunji Sarukaw, Kozo Yamamoto, Masahiro Okamoto
Breast cancers are the most common cancers in women. However, breast cancer occurring in a pectoralis major myocutaneous flap is extremely rare. This article describes a case of breast cancer occurring in such a flap used for reconstruction of the tongue in a 72-year-old woman. Follow-up computed tomogram depicted a slowly growing mass in the flap. Thirty-nine months postoperatively, a fine-needle aspiration biopsy specimen taken from the lesion suggested glandular carcinoma. The patient was diagnosed with breast cancer in the neck area of the flap and tumor excision was performed...
March 29, 2017: Journal of Oral and Maxillofacial Surgery
Carlos Olvera-Caballero, Eric Acosta-Ponce de Leon, Sergio Sanchez-Sosa
This study describes a case report of a 31-year-old patient who presented with a left thoracic tumor on costal cartilages 5 and 6 that was diagnosed as a desmoid tumor 3 years after receiving retropectoral breast implants for cosmetic reasons. The integral reconstruction of the thoracic wall, functional and aesthetic, was planned for a single surgical period. The defect secondary to the tumor resection, which left the pericardium and lung exposed, was closed using the pectoral muscle as a "pre-expanded" flap by the breast implant, and the breast aesthetic was treated bilaterally with new implants in the retromammary position...
February 2017: Plastic and Reconstructive Surgery. Global Open
Sephalie Y Patel, Raymond M Evans, Rosemarie E Garcia Getting, Pilar Suz
Postoperative nausea, vomiting, and pain present considerable concerns after reconstructive breast surgery. We present a case report of a 65-year-old woman with a history of severe postoperative nausea and vomiting, presenting for unilateral mastectomy with transverse rectus abdominis muscle flap. We performed unilateral pectoral nerve block and transverse abdominis plane block, which provided 24 hours of pain control and mitigated nausea and vomiting during the postoperative period.
April 15, 2017: A & A Case Reports
Yu Takayama, Satoshi Yokoo, Takaya Makiguchi, Takahide Komori
OBJECTIVE: The authors investigated the clinical and histopathologic significance of medial pectoral nerve preservation/reinnervation of pectoralis major musculocutaneous flap for oromandibular reconstruction. MATERIALS AND METHODS: The authors compared 13 patients treated with pectoralis major musculocutaneous flap reconstruction and 6 control patients treated by rectus abdominis musculocutaneous flap reconstruction without motor nerve restoration. Subjective awareness was scored to evaluate changes in the facial contour due to muscle atrophy, and objective evaluation was performed in few patients...
November 2016: Journal of Craniofacial Surgery
Anthony C Gill, Yi-Kai Tea, Hiroshi Senou
Plectranthias takasei is described from two specimens collected in Izu Oceanic Park, Sagami Bay, Honshu, Japan. It is distinguished from congeners in having the following combination of characters: dorsal rays X,15; no fleshy flaps on dorsal-fin spines; pectoral rays 13, all unbranched; branched caudal-fin rays 8 + 7; lateral line scales 28 (including intermittent and terminal pitted scales); circumpeduncular scales 12; fourth dorsal-fin spine longest; and preopercle without antrorse spines or serrations ventrally, with 2-3 weak serrations or crenulations posteriorly...
December 7, 2016: Zootaxa
A L Klochikhin, G I Markov, A L Chistyakov, N N Kosheleva
The authors describe a patient presenting with initially multiple metachronous cancer spreading over the right-handed side of the mouth floor and the right-handed part of the lower jaw. The patient who underwent cross-plastic surgery for the correction of the extensive soft tissue defect on the neck with the use of the musculocutaneous pectoral flap with the axial blood supply is described. The observation during the 14 year follow-up period confirmed the good functional outcome of the treatment.
2016: Vestnik Otorinolaringologii
Lalramliana Lalramliana, Denis Van Lalhlimpuia, Beihrosa Solo, Vanramliana Vanramliana
Physoschistura chhimtuipuiensis, new species, from a tributary of the Kaladan River in Mizoram, northeastern India, is distinguished from all other species of Physoschistura by a combination of the following characters: scales between pectoral- and pelvic-fin bases deeply embedded and sparsely set, lateral line incomplete with 56-63 pores, reaching slightly beyond the base of the last anal-fin ray, a suborbital flap in male, 8½ branched dorsal-fin rays and 8+7 branched caudal-fin rays.
October 4, 2016: Zootaxa
Hsuan-Ching Ho, Jen-Ping Chen, Kwang-Tsao Shao
Synodus pacificus sp. nov., a new species of lizardfish, is described based on specimens collected in the western Pacific Ocean. It belongs to a species group with needle-like posterior processes of the pelvic girdle and differs from its congeners by having the following combination of characters: 4 upside-down omega-shaped marks on the lateral body; black patches on the nape and opercular region; cross bars on the ventral surface of the head; bars on the dorsal and caudal fins; orbital large (6.7-8.1% SL); interorbital space narrow (2...
September 8, 2016: Zootaxa
P Xu, S Q Wang, X Yan, Y Lin, H H Ge, Q Tan
OBJECTIVE: To observe the effect of expanded flap containing cervical cutaneous branch of transverse cervical artery (TCA) on reconstruction of postburn facial scar contracture deformity. METHODS: Six patients with postburn facial scar contracture deformity, hospitalized from September 2011 to January 2016, with the scar area ranging from 12 cm×10 cm to 20 cm×15 cm, were reconstructed with expanded flap containing cervical cutaneous branch of TCA. One expander of 300 mL or 350 mL implanted in anterior pectoral area was injected for excessive expanding; one patient was conducted with expansion in both sides of the anterior pectoral area...
August 20, 2016: Zhonghua Shao Shang za Zhi, Zhonghua Shaoshang Zazhi, Chinese Journal of Burns
William T White, Gavin J P Naylor
Molecular and morphological data show that the pelagic eagle rays of the genus Aetobatus form a distinct family-level grouping separate from the true eagle rays, Aetomylaeus and Myliobatis (family Myliobatidae). The family Aetobatidae is herein resurrected to include the pelagic eagle rays and definitions are provided for this family and for the Myliobatidae. The key characters separating Aetobatidae from Myliobatidae are: pectoral fins joining head at level of eyes (vs. below level of eyes), internasal flap deeply notched (vs...
July 21, 2016: Zootaxa
Marcelo Kovačić, Sergey V Bogorodsky, Ahmad O Mal
A new species of the gobiid genus Coryogalops, C. nanus sp. nov. is described from the Red Sea. Coryogalops nanus sp. nov. is distinguished from congeners in having dorsal-fin rays VI + I,10; anal-fin rays I,9; pectoral-fin rays 12-14 (lowest count known for the genus), two upper rays with free tips; pelvic fins I,5, joined to form an emarginate disc, no pelvic frenum; predorsal area and narrow area at base of first dorsal fin naked; longitudinal scale series 26-29; transverse scale rows counted forward 6-7; transverse scale rows counted backward 7-8; circumpeduncular scale rows 11-12; seven transverse suborbital rows of sensory papillae; no tentacle above upper eye margin; anterior nostril tubular, without flap at its tip, posterior nostril pore-like; body semitranslucent, covered with small scattered orange-yellow spots and speckles, those in predorsal area contain black dots; an internal row of white spots along ventral part of body above anal-fin base and on caudal peduncle; head with small scattered orange to yellowish brown spots; first dorsal fin with two broad white bands at base of fin and distally, and with hyaline area densely dotted with melanophores in the middle of fin; preserved specimens opaque white to yellowish with sparse melanophores...
March 31, 2016: Zootaxa
Sam Van Wassenbergh, Iris Joris, Mathieu Desclée, Hon Jung Liew, Gudrun De Boeck, Dominique Adriaens, Peter Aerts
Many species from several different families of fishes perform mouthbrooding, where one of the sexes protects and ventilates the eggs inside the mouth cavity. This ventilation behaviour differs from gill ventilation outside the brooding period, as the normal, small-amplitude suction-pump respiration cycles are alternated with actions including near-simultaneous closed-mouth protrusions and high-amplitude depressions of the hyoid. The latter is called churning, referring to its hypothetical function in moving around and repositioning the eggs by a presumed hydrodynamic effect of the marked shifts in volume along the mouth cavity...
May 15, 2016: Journal of Experimental Biology
Tekin Simsek, Murat Sinan Engin, Asef Abdullayev, Ismail Kucuker, Ahmet Demir, Lutfi Eroglu
OBJECTIVE: In breast reduction surgery, while the primary objective may appear to be decreasing the breast volume, the ultimate goal is to achieve symmetrical, appealing, and sustainable breast cosmesis. To circumvent late-term ptosis following inferior pedicle mammoplasty, methods such as pedicle suspension to the ribs, support with dermal flaps and grafts, and the use of some alloplastic materials have been proposed. This paper presents a method of folding and fixing the inferocentral pedicle on itself and the underlying pectoral fascia...
October 2016: Journal of Plastic Surgery and Hand Surgery
Tomoko Ogawa, Tomomi Yamakawa
INTRODUCTION: Prosthetic-based breast reconstruction can be used in combination with autologous flaps such as a latissimus dorsi (LD) flap or a thoracodorsal artery perforator (TDAP) flap to achieve symmetry. However, the LD and TDAP flaps require a different skin incision from that which is used for the mastectomy. As a new autologous flap for use in combination with prosthetic-based breast reconstruction after nipple-sparing mastectomy (NSM), we used an inframammary adipofascial flap...
2016: International Journal of Surgery Case Reports
Mannam Naga Praveen Babu, J M Mallikarjuna, P Krishnankutty
Two-dimensional velocity fields around a freely swimming freshwater black shark fish in longitudinal (XZ) plane and transverse (YZ) plane are measured using digital particle image velocimetry (DPIV). By transferring momentum to the fluid, fishes generate thrust. Thrust is generated not only by its caudal fin, but also using pectoral and anal fins, the contribution of which depends on the fish's morphology and swimming movements. These fins also act as roll and pitch stabilizers for the swimming fish. In this paper, studies are performed on the flow induced by fins of freely swimming undulatory carangiform swimming fish (freshwater black shark, L = 26 cm) by an experimental hydrodynamic approach based on quantitative flow visualization technique...
2016: Robotics and Biomimetics
Sarika Rachel Tigga, Surbhi Wadhwa, Preeti Goswami
The knowledge of innervation of pectoral muscles is important to surgeons performing breast surgeries, axillary lymph node dissection, harvesting pectoralis major/minor for flaps, and during neurotization procedures where the pectoral nerves are particularly at risk. The present case describes the innervation of the pectoral muscles solely by a nerve trunk arising from the ansa pectoralis (AP) - the loop of medial and lateral pectoral nerves. Interestingly, there was also a communication between the AP and roots forming the median nerve...
January 2016: International Journal of Applied and Basic Medical Research
James van Bastelaar, Arianne Beckers, Maarten Snoeijs, Geerard Beets, Yvonne Vissers
BACKGROUND: Seroma formation is a common complication following mastectomy for invasive breast cancer. Mastectomy flap fixation is achieved by reducing dead space volume using interrupted subcutaneous sutures. METHODS: All patients undergoing mastectomy due to invasive breast cancer or ductal carcinoma in situ (DCIS) were eligible for inclusion. From May 2012 to March 2013, all patients undergoing mastectomy in two hospitals were treated using flap fixation. The skin flaps were sutured on to the pectoral muscle using polyfilament absorbable sutures...
March 8, 2016: World Journal of Surgical Oncology
Minnie Pillay, Swapna Ramakrishnan, Mahendran Mayilswamy
The sternalis muscle, an uncommon anatomical variant of the chest wall musculature, though perhaps well known to anatomists, is quite unfamiliar to clinicians and radiologists despite attempts to highlight its clinical importance in recent years. During routine dissection for undergraduate medical teaching, in the department of anatomy, we came across two cases of sternalis muscle. The first was a unique case of unilateral right sternalis with contralateral insertion on the left sternocleidomastoid, and the second case where bilateral presence of the muscle was noted with ipsilateral insertion...
January 2016: Journal of Clinical and Diagnostic Research: JCDR
Chieh Chou, Ming-Jer Tasi, Yen-Ting Sheen, Shu-Hung Huang, Tung-Ying Hsieh, Chih-Hau Chang, Chung-Sheng Lai, Kao-Ping Chang, Sin-Daw Lin, Su-Shin Lee
INTRODUCTION: Various management strategies have been reported for sternal wound care; however, they exhibit limited effectiveness or are associated with severe complications. Furthermore, it is difficult for the standard pectoralis major (PM) muscle advance flap to reach the lower third of the sternum. This article examines using the PM-rectus abdominis (RA) bipedicle muscle flap to treat lower-third deep sternal wound infection. METHODS: The outcomes of patients who received a PM-RA bipedicle muscle flap harvest at our institution between 1996 and 2014 were reviewed...
March 2016: Annals of Plastic Surgery
Yüksel Kankaya, Melike Oruç, Nezih Sungur, Özlem Çolak Aslan, Koray Gürsoy, Kadri Özer, Uğur Koçer
PURPOSE: Bottoming-out deformity is accepted as the most important disadvantage of inferior pedicle breast reduction. For prevention of this deformity, different techniques are used in combination with inferior pedicle. In this study, we aimed to prevent bottoming-out deformity by producing an internal bra effect through combination of inferior pedicle technique with 2 superior and 2 inferior dermal flaps that were raised from each side of the pedicle. METHODS: Thirteen patients whose medical records became available during the follow-up period at Ankara Training and Research Hospital from January 2010 to January 2015 were included in this study...
January 2016: Annals of Surgical Treatment and Research
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