Deltopectoral flap was discovered in early 90s and used for nasal and pharyngeal reconstructions, since then its use has diminished over the years. We have tried to use this historic flap with the robust pectoralis major flap to reconstruct large head and neck defects. Though the ideal flap for such defects would be a free flap, in developing nations due to resource intense settings free flap is not always feasible. Our aim is to review combined deltopectoral and pectoralis major flap for large head and neck reconstructions. A retrospective study of 30 patients was done in our institute. Patients included in the study were resectable head and neck cancers with extensive skin involvement. A combined deltopectoral and pectoralis major flap was used to reconstruct the defect. A combined use of deltopectoral and pectoralis major flaps can be an effective alternative to free flaps in developing nations due to lack of resources and large volume of cases.
Abbreviations:STSG (split tissue skin graft), IJV (internal jugular vein), SAN (spinal accessory nerve), DP (deltopectoral), PMMC (pectoralis major myocutaneous)
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- Overview of the 8th edition TNM classification for head and neck cancer.Curr Treat Options Oncol. 2017; 18: 6
- Reconstructive surgery for head and neck cancers.Pract Otol. 1996; 89: 67-73
- Nasal reconstruction: With a note on nature's plastic surgery.Lancet. 1917; 190 ([Internet][cited 2022 Jul 23]): 888-892
- A Two-stage method for pharyngoesophageal reconstruction with a primary pectoral skin flap.Plast Reconstr Surg. 1965; 36: 173-184
- The pectoralis major myocutaneous flap. A versatile flap for reconstruction in the head and neck.Plast Reconstr Surg. 1979; 63: 73-81
- A novel clinical application of the classical Bakamjian flap in the reconstruction of a sternal chondrosarcoma defect.Indian J Surg. 2015; 77: 1444-1446
- Microsurgical free flap reconstructions of the head and neck region: Shanghai experience of 34 years and 4640 flaps.Int J Oral Maxillofac Surg. 2015; 44 ([Internet][cited 2022 Nov 1]): 675-684
- Free tissue transfers in head and neck reconstruction: Complications, outcomes and strategies for management of flap failure: Analysis of 2019 flaps in single institute.Microsurgery. 2014; 34 ([Internet][cited 2022 Nov 1]): 339-344
- Pectoralis major myocutaneous flap for head andneck reconstruction: Risk factors for fistula formation.Acta Otorhinolaryngol Ital. 2014; 34 ([Internet][cited 2022 Nov 1]/pmc/articles/PMC4346994/): 389
- The pectoralis major myocutaneous flap revisited: A reliable technique for head and neck reconstruction.Ann Plast Surg. 2010; 64 ([Internet][cited 2022 Nov 1]): 570-573
- Pectoralis major myocutaneous flaps for head and neck reconstruction: Factors influencing occurrences of complications and the final outcome.Sao Paulo Med J. 2010; 128 ([Internet][cited 2022 Nov 1]): 336-341
- Open access atlas of otolaryngology, head & neck operative surgery.Atlas Otolaryngol Head Neck Oper Surg. 2008; ([Internet]): 1-12
- Submental island flap versus radial forearm free flap for oral tongue reconstruction: A comparison of complications and functional outcomes.J Laryngol Otol. 2019; 133: 413-418
- Predicting length of stay in head and neck patients who undergo free flap reconstruction.Laryngoscope Investig Otolaryngol. 2020; 5: 461-467
- Role of the island deltopectoral flap in contemporary head and neck reconstruction.Ann Otol Rhinol Laryngol. 2006; 115 ([Internet][cited 2022 Jul 23]): 361-364
Deltopectoral flap with a segmental dermal pedicle in head and neck reconstruction—PubMed [Internet]. [cited 2022 Jul 23]. Available at: https://pubmed.ncbi.nlm.nih.gov/834779/ accessed 23 July 2022.
Published online: February 23, 2023
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