Department of Otolaryngology-Head and Neck Surgery, Medical College of Georgia at Augusta University, Augusta, Georgia, USA.
Department of Otolaryngology-Head and Neck Surgery, University of Illinois-Chicago, Chicago, Illinois, USA.
Head Neck. 2024 Jul;46(7):1835-1840. doi: 10.1002/hed.27769. Epub 2024 May 6.
The internal mammary artery perforator (IMAP) flap is an evolution of the deltopectoral flap that is harvested based upon a single perforator from the internal mammary artery. Its favorable characteristics include pliability as a fasciocutaneous flap, ease of harvest, and minimal donor site morbidity. In this paper, we report our harvest technique and the versatility of the IMAP flap for pharyngoesophageal, cervical tracheal, and cutaneous neck defects. We seek to highlight the IMAP as a useful regional reconstructive option in both the primary and salvage reconstructive setting. As such, this flap is an important option in the head and neck reconstructive surgeon's armamentarium.
胸内动脉穿支皮瓣（IMAP）是肩胛胸肌皮瓣的一种演变，它是基于胸内动脉的单个穿支进行采集的。其优点包括作为筋膜皮瓣的柔韧性、易于采集以及供区并发症少。在本文中，我们报告了我们的采集技术以及 IMAP 皮瓣在咽食管、颈气管和颈部皮肤缺损中的多功能性。我们旨在强调 IMAP 作为原发性和挽救性重建中的一种有用的区域性重建选择。因此，该皮瓣是头颈部重建外科医生的重要工具之一。
