<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0376-7892</journal-id>
<journal-title><![CDATA[Cirugía Plástica Ibero-Latinoamericana]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. plást. iberolatinoam.]]></abbrev-journal-title>
<issn>0376-7892</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0376-78922024000200012</article-id>
<article-id pub-id-type="doi">10.4321/s0376-78922024000200012</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Nuestra experiencia para cobertura de cabeza y cuello con colgajo miocutáneo de pectoral mayor]]></article-title>
<article-title xml:lang="en"><![CDATA[Our experience in head and neck coverage with the pectoralis major myocutaneous flap]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[Jorge Tarud]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Smit]]></surname>
<given-names><![CDATA[Rolf]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arbeláez]]></surname>
<given-names><![CDATA[Sergio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[Julián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ordóñez]]></surname>
<given-names><![CDATA[César]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Simón Bolívar  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Simón Bolívar  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad del Norte  ]]></institution>
<addr-line><![CDATA[Barranquilla ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2024</year>
</pub-date>
<volume>50</volume>
<numero>2</numero>
<fpage>195</fpage>
<lpage>202</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0376-78922024000200012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0376-78922024000200012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0376-78922024000200012&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción y objetivo. La reconstrucción de cabeza y cuello ha estado tradicionalmente enfocada en el uso de colgajos libres mediante microcirugía. A pesar de la prevalencia del colgajo de pectoral mayor en la cobertura de defectos del cuello, presentamos nuestra experiencia con un recurso y técnica modificada que permite la cobertura tanto en el cuello como en la mejilla, ofreciendo alternativas cuando la microcirugía no es viable.  Material y método. Recogemos nuestra experiencia aplicando una variante de disección más amplia que la técnica clásica del colgajo de pectoral mayor a nivel de las inserciones axilares: disección subfascial y retropectoral preservando los pedículos e identificando la arteria tóracoacromial; elevación del músculo pectoral con su isla cutánea y tunelización del colgajo hacia el área receptora subcutánea. Resaltamos el adelgazamiento del pedículo a nivel humeral para lograr mayor distancia.  Resultados. El estudio incluyó 15 casos de reconstrucción de cabeza y cuello, todos con supervivencia del colgajo y tasas bajas de complicaciones principalmente menores, destacando la viabilidad y eficacia de la técnica modificada del colgajo de pectoral mayor.  Conclusiones. En nuestra experiencia, la variante del colgajo de pectoral mayor que empleamos resultó ser una opción segura y viable para la reconstrucción en cabeza y cuello, especialmente en entornos donde la microcirugía no está disponible, y con una baja tasa de complicaciones.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background and objective. Head and neck reconstruction has traditionally focused on the use of free flaps by microsurgery. Despite the prevalence of the pectoralis major flap in the coverage of neck defects, we present our experience with a modified technique that allows coverage of both the neck and cheek, offering alternatives when microsurgery is not feasible.  Methods. We collect our experience by applying a more extensive dissection variant than the classic pectoralis major flap technique at the level of the axillary insertions: subfascial and retropectoral dissection preserving the pedicles and identifying the thoracoacromial artery; elevation of the pectoralis muscle with its cutaneous island and tunneling of the flap towards the subcutaneous recipient area. We highlight the thinning of the pedicle at the humeral level to achieve greater distance.  Results. The study included 15 cases of head and neck reconstruction, all with flap survival and low rates of primarily minor complications, highlighting the feasibility and effectiveness of the modified pectoralis major flap technique.  Conclusions. In our experience, the variant of the pectoralis major flap that we used turned out to be a safe and viable option for head and neck reconstruction, especially when microsurgery is not available, and with a low complication rate.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Colgajo pectoral mayor]]></kwd>
<kwd lng="es"><![CDATA[Tumores cabeza y cuello]]></kwd>
<kwd lng="es"><![CDATA[Microcirugía.]]></kwd>
<kwd lng="en"><![CDATA[Pectoralis major flap]]></kwd>
<kwd lng="en"><![CDATA[Head and neck noeplasms]]></kwd>
<kwd lng="en"><![CDATA[Microsurgery.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[McLean]]></surname>
<given-names><![CDATA[JN]]></given-names>
</name>
<name>
<surname><![CDATA[Carlson]]></surname>
<given-names><![CDATA[GW]]></given-names>
</name>
<name>
<surname><![CDATA[Losken]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The pectoralis major myocutaneous flap revisited: A reliable technique for head and neck reconstruction]]></article-title>
<source><![CDATA[Ann Plast Surg]]></source>
<year>2010</year>
<volume>64</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>570-3</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Talesnik]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Markowitz]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Calcaterra]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Ahn]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Shaw]]></surname>
<given-names><![CDATA[W.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cost and outcome of osteocutaneous free-tissue transfer versus pedicled soft-tissue reconstruction for composite mandibular defects]]></article-title>
<source><![CDATA[Plast Reconstr Surg]]></source>
<year>1996</year>
<volume>97</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1167-78</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vartanian]]></surname>
<given-names><![CDATA[JG]]></given-names>
</name>
<name>
<surname><![CDATA[Carvalho]]></surname>
<given-names><![CDATA[AL]]></given-names>
</name>
<name>
<surname><![CDATA[Carvalho]]></surname>
<given-names><![CDATA[SMT]]></given-names>
</name>
<name>
<surname><![CDATA[Mizobe]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Magrin]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Kowalski]]></surname>
<given-names><![CDATA[LP.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pectoralis major and other myofascial/myocutaneous flaps in head and neck cancer reconstruction: Experience with 437 cases at a single institution]]></article-title>
<source><![CDATA[Head Neck]]></source>
<year>2004</year>
<volume>26</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>1018-23</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[García-Avellana]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Márquez-Cañada]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Tejerina-Botella]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Nuestra técnica de colgajo miocutáneo de pectoral mayor para reconstrucción de defectos cervicales]]></article-title>
<source><![CDATA[Cir plást iberolatinoam]]></source>
<year>2017</year>
<volume>43</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>285-93</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Patel]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Lyu]]></surname>
<given-names><![CDATA[DJH]]></given-names>
</name>
<name>
<surname><![CDATA[Kademani]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pectoralis Major Myocutaneous Flap]]></article-title>
<source><![CDATA[Oral Maxillofac Surg Clin N Am]]></source>
<year>2014</year>
<volume>26</volume>
<page-range>421-6</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Patel]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Jee-Hyun Lyu]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Kademan]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pectoralis Major Myocutaneous Flap]]></article-title>
<source><![CDATA[Oral and Maxillofacial Surg Clin]]></source>
<year>2014</year>
<volume>26</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>421-6</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Liu]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Gullane]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Brown]]></surname>
<given-names><![CDATA[JP.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pectoralis major pedicled flap in head and neck reconstruction: retrospective review of indications and results in 244 consecutive cases at the Toronto General Hospital]]></article-title>
<source><![CDATA[J Otolaryngol]]></source>
<year>2001</year>
<volume>30</volume>
<page-range>34-40</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[León]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
<name>
<surname><![CDATA[Quer]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Orús]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Complicaciones del colgajo miocutáneo de pectoral mayor en reconstrucción cervical]]></article-title>
<source><![CDATA[Acta Otorrinolaringol Esp]]></source>
<year>1993</year>
<volume>44</volume>
<page-range>375-80</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[McCraw]]></surname>
<given-names><![CDATA[JB]]></given-names>
</name>
<name>
<surname><![CDATA[Dibbell]]></surname>
<given-names><![CDATA[DG]]></given-names>
</name>
<name>
<surname><![CDATA[Carraway]]></surname>
<given-names><![CDATA[JH.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Clinical definition of independent myocutaneous vascular territories]]></article-title>
<source><![CDATA[Plast Reconstr Surg]]></source>
<year>1977</year>
<volume>60</volume>
<page-range>341-52</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Morales]]></surname>
<given-names><![CDATA[AC]]></given-names>
</name>
<name>
<surname><![CDATA[Moreno]]></surname>
<given-names><![CDATA[MV.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Opciones terapéuticas en reconstrucción después de faringolaringectomía en cáncer de laringe e hipofaringe]]></article-title>
<source><![CDATA[Rev Otorrinolaringol Cir Cabeza Cuello]]></source>
<year>2019</year>
<volume>79</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>117-24</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Blackwell]]></surname>
<given-names><![CDATA[KE]]></given-names>
</name>
<name>
<surname><![CDATA[Buchbinder]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Biller]]></surname>
<given-names><![CDATA[HF]]></given-names>
</name>
<name>
<surname><![CDATA[Urken]]></surname>
<given-names><![CDATA[ML.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Reconstruction of massive defects in the head and neck: The role of simultaneous distant and regional flaps]]></article-title>
<source><![CDATA[Head Neck]]></source>
<year>1997</year>
<volume>19</volume>
<page-range>620-8</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[McCrory]]></surname>
<given-names><![CDATA[AL]]></given-names>
</name>
<name>
<surname><![CDATA[Magnuson]]></surname>
<given-names><![CDATA[JS.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Free tissue transfer versus pedicled flap in head and neck reconstruction]]></article-title>
<source><![CDATA[Laryngoscope]]></source>
<year>2002</year>
<volume>112</volume>
<page-range>2161-5</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ariyan]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The pectoralis major myocutaneous flap. A versatile flap for reconstruction in the head and neck]]></article-title>
<source><![CDATA[Plast Reconstr Surg]]></source>
<year>1979</year>
<volume>63</volume>
<page-range>73-81</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Freeman]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Walker]]></surname>
<given-names><![CDATA[EP]]></given-names>
</name>
<name>
<surname><![CDATA[Wilson]]></surname>
<given-names><![CDATA[JS]]></given-names>
</name>
<name>
<surname><![CDATA[Shaw]]></surname>
<given-names><![CDATA[HJ.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The vascular anatomy of the pectoralis major myocutaneous flap]]></article-title>
<source><![CDATA[Br J Plast Surg]]></source>
<year>1981</year>
<volume>34</volume>
<page-range>3-10</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Miller]]></surname>
<given-names><![CDATA[LE]]></given-names>
</name>
<name>
<surname><![CDATA[Stubbs]]></surname>
<given-names><![CDATA[VC]]></given-names>
</name>
<name>
<surname><![CDATA[Silberthau]]></surname>
<given-names><![CDATA[KB]]></given-names>
</name>
<name>
<surname><![CDATA[Rajasekaran]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Newman]]></surname>
<given-names><![CDATA[JG]]></given-names>
</name>
<name>
<surname><![CDATA[Chalian]]></surname>
<given-names><![CDATA[AA]]></given-names>
</name>
<name>
<surname><![CDATA[Shanti]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Cannady]]></surname>
<given-names><![CDATA[SB.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pectoralis major muscle flap use in a modern head and neck free flap practice]]></article-title>
<source><![CDATA[Am J Otolaryngol]]></source>
<year>2020</year>
<volume>41</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>102475</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Opoku-Agyeman]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Matera]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Simone]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Surgical configurations of the pectoralis major flap for reconstruction of sternoclavicular defects: a systematic review and new classification of described techniques]]></article-title>
<source><![CDATA[BMC Surg]]></source>
<year>2019</year>
<volume>19</volume>
<page-range>136</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hueston]]></surname>
<given-names><![CDATA[JT]]></given-names>
</name>
<name>
<surname><![CDATA[McConchie]]></surname>
<given-names><![CDATA[IH.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A compound pectoral flap]]></article-title>
<source><![CDATA[Aust NZ J Surg]]></source>
<year>1968</year>
<volume>38</volume>
<page-range>61-3</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Leite]]></surname>
<given-names><![CDATA[AK]]></given-names>
</name>
<name>
<surname><![CDATA[de Matos]]></surname>
<given-names><![CDATA[LL]]></given-names>
</name>
<name>
<surname><![CDATA[Belli]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Kulcsar]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Cernea]]></surname>
<given-names><![CDATA[CR]]></given-names>
</name>
<name>
<surname><![CDATA[Garcia Brandão]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Pinto]]></surname>
<given-names><![CDATA[FR.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pectoralis major myocutaneous flap for head and neck reconstruction: risk factors for fistula formation]]></article-title>
<source><![CDATA[Acta Otorhinolaryngol Ital]]></source>
<year>2014</year>
<volume>34</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>389-93</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dvo&#345;ák]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Pink]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Michl]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Heinz]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Tvrdý]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Pedicled pectoralis major flap in head and neck reconstruction - technique and overview]]></article-title>
<source><![CDATA[Acta Chir Plast]]></source>
<year>2019</year>
<volume>60</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>14-21</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
