[Pre-expanded internal mammary artery perforator (IMAP) flap in post-burn neck reconstruction].

Abstract

After extensive use for head and neck reconstruction, the deltopectoral (DP) flap has been supplanted by alternative methods of reconstruction and relegated to historical references. However, we presented, in a previous article, this very valuable skin flap for postburn head and neck reconstruction. Here, we report three cases of neck reconstruction using a technical variation of the DP flap: the pre-expanded internal mammary artery perforator (IMAP) flap. Technical simplicity and reliability are the main features of this flap. The advantages of the pre-expanded IMAP flap technique lie above all in its prior expansion. The plastic qualities of the skin paddle, autonomy for the distal part of the flap, reduction in donor site morbidity and avoiding the classic secondary division of the DP flap, are the benefits of this technique. It is an excellent indication for postburn neck reconstruction, especially vertical scar contractures.