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

Dharmesh Jothilakshmi Balraj, Manmohan Singh, Pranav Sood, Dil Preet Reehal


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.


Pectoralis major myocutaneous flap , Electric burn, Shoulder joint, Acromion

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Zemaitis MR, Foris LA, Lopez RA, Huecker MR. Electrical Injuries. United States: Stat Pearls; 2019.

Ungureanu M. Electrocutions-treatment strategy (case presentation). J Med Life. 2014;7(4):623-6.

Bounds EJ, West B, Kok SJ. Electrical Burns. United States: Stat Pearls; 2020.

Torres PA, Helmstetter JA, Kaye AM, Kaye AD. Rhabdomyolysis: pathogenesis, diagnosis, and treatment. Ochsner J. 2015;15(1):58-69.

Tripathi M, Parshad S, Karwasra RK, Singh V. Pectoralis major myocutaneous flap in head and neck reconstruction: An experience in 100 consecutive cases. Natl J Maxillofac Surg. 2015;6 (1):37-41.

Liu M, Liu W, Yang X, Guo H, Peng H. Pectoralis major myocutaneous flap for head and neck defects in the era of free flaps: harvesting technique and indications. Sci Rep. 2017;7:46256.

Walker NJ, King KC. Acute and chronic thermal burn evaluation and management. United States: Stat Pearls; 2020.

Bakri K, Mardini S, Evans KK, Carlsen BT, Arnold PG. Workhorse flaps in chest wall reconstruction: the pectoralis major, latissimus dorsi, and rectus abdominis flaps. Semin Plast Surg. 2011;25(1):43-54.

Tammara lW. The pectoralis major myocutaneous flap. Oper Tech Otolaryngol Head Neck Surg. 2019;30(2):134-7.