Internal mammary artery perforator flap for head and neck reconstruction

N. Gopalakrishna Iyer, Jonathan R. Clark, Bruce G. Ashford

Research output: Contribution to journalArticlepeer-review

21 Citations (Scopus)


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.

Original languageEnglish
Pages (from-to)799-803
Number of pages5
JournalANZ Journal of Surgery
Issue number11
Publication statusPublished - Nov 2009
Externally publishedYes


  • Deltopectoral
  • IMAP
  • Pedicled flap
  • Tracheostome

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