Beneficial Impact of "Supercharged" Pectoralis Major Musculocutaneous Flap With Indocyanine Green Angiography on Reconstruction in a Patient at High Risk for Necrosis.

Maako Fujita, Masakatsu Hihara, Ai Satou, Michika Fukui, Toshihito Mitsui, Maki Okamoto, Ayako Kako, Natsuko Kakudo

Open access · greenAbstract readCase Reports

In one paragraph

Article in Eplasty, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

0.3field-weighted citation impact, top 43% of its field

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

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0 citing papers in PubMed, 1 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Maako FujitaDepartment of Plastic and Reconstructive Surgery, Kansai Medical University, Hirakata, Osaka, Japan.

Masakatsu HiharaDepartment of Plastic and Reconstructive Surgery, Kansai Medical University, Hirakata, Osaka, Japan.

Ai SatouDepartment of Plastic and Reconstructive Surgery, Hikone Municipal Hospital, Hikone, Shiga, Japan.

Michika FukuiDepartment of Plastic and Reconstructive Surgery, Kansai Medical University, Hirakata, Osaka, Japan.

Toshihito MitsuiDepartment of Plastic and Reconstructive Surgery, Kansai Medical University, Hirakata, Osaka, Japan.

Maki OkamotoDepartment of Plastic and Reconstructive Surgery, Kansai Medical University, Hirakata, Osaka, Japan.

Ayako KakoDepartment of Plastic and Reconstructive Surgery, Kansai Medical University, Hirakata, Osaka, Japan.

Natsuko KakudoDepartment of Plastic and Reconstructive Surgery, Kansai Medical University, Hirakata, Osaka, Japan.

Kansai Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The pectoralis major musculocutaneous (PMMC) flap is a versatile and commonly used technique for reconstruction of the head and neck in patients at high risk in free tissue transfer procedures. In this report, a "supercharged" PMMC flap, in which the lateral thoracic artery was cut, preserved, and anastomosed to the cervical vessels, was developed to stabilize blood flow. Methods: The supercharged PMMC flap was introduced in a patient who was at high risk for partial necrosis of the flap and underwent surgery for reconstruction of the tongue. Intraoperative perfusion monitoring using laser-assisted indocyanine green angiography (ICGA) was also performed to verify the status of blood flow in the flap. Results: ICGA monitoring of blood flow in the flap revealed instability. Subsequently, a supercharged PMMC flap was applied, which prevented partial necrosis of the flap. Conclusions: Combined with ICGA, a supercharged PMMC flap contributed to successful reconstruction in a patient at high risk for necrosis of the flap region.

Indexed as

ArteryIndocyanine GreenLateral ThoracicMusculocutaneousPectoralis MajorSupercharge

Identifiers

PMID36919157

PMCPMC10008370

OpenAlexW4324308692

What OpenQuestion holds

Textmetadata

Read underepoch 390

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None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.