SUBPECTORAL GLIDING TISSUE FLAP

By cadaver dissection, the anatomy of the connective tissue between th e pectoralis major and the pectoralis minor muscle was studied. The po ssibility of creating a pedicled flap of gliding tissue based on the p ectoral branch of the thoracoacromial artery was confirmed. The clinic al relevance of this tissue was defined in nine patients. To avoid rec urrent fibrosis after neurolysis of the structures of the brachial ple xus in patients with recurrent pain syndromes, the envelopment of the neurolyzed nerves by a subpectoral gliding tissue flap was carried out and was successful in eight cases. After the transposition of the sub pectoral gliding tissue flap, the remaining pectoralis major muscle sh owed only a small partial atrophy in the clavicular segment without an y functional impairment; this nas confirmed by physical examination an d by electromyogram.