thoracoacromial artery การใช้

• The deltoid branch of the thoracoacromial artery also passes through this triangle, giving branches to both the deltoid and pectoralis major muscles.
• Decreasing the pectoral muscle tone intraoperatively by neuromuscular relaxation ( paralytic agents ) or by a nerve block ( local anesthetic injection ), can facilitate better cosmetic results during breast augmentation or post-mastectomy breast implantation .  The skin projection point of the neurovascular bundle ( NVB ) represents the denervation point ( DP ) .  The NVB ( thoracoacromial artery and vein, plus the lateral pectoral nerve ) may be the guide for local anesthetic applications in order to achieve pectoral muscle denervation .  Routine botulinum toxin infiltration of the chest wall musculature at the time of mastectomy and immediate reconstruction & would paralyze the muscles and reduce the postoperative pain caused by muscle spasm .