Major head and neck reconstruction using the deltopectoral flap. A 20 year experience

American Journal of Surgery
T GilasP M Calamel

Abstract

Six hundred seventy-eight deltopectoral flaps were raised in 604 patients, 125 of which were delayed and 215 of which were used in previously irradiated beds. The rate of major flap necrosis was 16.9 percent and the overall rate of complications, 51.4 percent. Delay in creating the deltopectoral flap had no influence on the risk of complications and necrosis, whereas the use of the flap in a previously irradiated bed was associated with a significantly increased risk of major flap necrosis. The least flap loss occurred when the deltopectoral flap was used without tubulation for skin coverage only. Complications and flap necrosis occurred most frequently when flaps were tubulated in a reversed manner or used for lining of major portions of or for total oropharyngeal and hypopharyngeal reconstruction. The deltopectoral flap remains a useful, reliable, and versatile regional flap that can be used alone or in combination with other flaps in selected circumstances for major head and neck reconstruction.

Citations

Jul 1, 1989·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·B H HaugheyW E Brown
Apr 2, 2013·Plastic and Reconstructive Surgery·Benny T YuSeng-Feng Jeng
Mar 14, 2003·Archives of Facial Plastic Surgery·Yadranko Ducic, Jesse E Smith
Oct 27, 2006·Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery·Guan-Ming FengJagdeep Chana
Jan 1, 1997·The Journal of Laryngology and Otology·I AkinA Gürzumar
Feb 10, 2006·The Annals of Otology, Rhinology, and Laryngology·Brian T AndrewsHenry T Hoffman
Mar 2, 2013·Journal of Maxillofacial and Oral Surgery·M Ravi SekharK Gopalkrishna
Dec 3, 2009·Plastic and Reconstructive Surgery·Corrine WongRod J Rohrich
May 1, 2013·Plastic and Reconstructive Surgery·Yi Xin ZhangDavide Lazzeri
Sep 1, 1988·Journal of Surgical Oncology·C C ConteK Sako

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