BACKGROUND: The internal mammary artery perforator (IMAP) flap is a useful modification of the classic deltopectoral flap that has a number of important roles in head and neck reconstruction. METHODS AND RESULTS: In this report, we describe the technique used to plan and raise the flap and demonstrate its use in three different clinical scenarios. RESULTS AND CONCLUSIONS: The IMAP flap is a pedicled fasciocutaneous flap that is based on single or multiple internal mammary artery perforators. As such, it provides thin pliable tissue with a wide arc of rotation that is suitable for cutaneous, pharyngeal and tracheostomal reconstruction. Moreover, the flap is well-vascularised, reliable and the donor site can be closed primarily.
BACKGROUND: The internal mammary artery perforator (IMAP) flap is a useful modification of the classic deltopectoral flap that has a number of important roles in head and neck reconstruction. METHODS AND RESULTS: In this report, we describe the technique used to plan and raise the flap and demonstrate its use in three different clinical scenarios. RESULTS AND CONCLUSIONS: The IMAP flap is a pedicled fasciocutaneous flap that is based on single or multiple internal mammary artery perforators. As such, it provides thin pliable tissue with a wide arc of rotation that is suitable for cutaneous, pharyngeal and tracheostomal reconstruction. Moreover, the flap is well-vascularised, reliable and the donor site can be closed primarily.
Authors: A K N Leite; L L de Matos; M Belli; M A V Kulcsar; C R Cernea; L Garcia Brandão; F R Pinto Journal: Acta Otorhinolaryngol Ital Date: 2014-12 Impact factor: 2.124