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.
Keywords
Abbreviations:
STSG (split tissue skin graft), IJV (internal jugular vein), SAN (spinal accessory nerve), DP (deltopectoral), PMMC (pectoralis major myocutaneous)To read this article in full you will need to make a payment
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Published online: February 23, 2023
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