Combined pectoralis major and deltopectoral flap for reconstruction in head and neck cancer: Revisiting the historic flap

Q3 Medicine

Operative Techniques in Otolaryngology - Head and Neck Surgery Pub Date : 2023-09-01 DOI:10.1016/j.otot.2023.02.002

Shivang Shukla MBBS, MS, Shivam Pandya MBBS, MS, MCH, Satyadeep Bikkina MBBS, MS, Priyank V Rathod MBBS, MS, MCH, Shashank Pandya MBBS, MS, MCH, Mohit Sharma MBBS, MS, MCH, Shailesh Patel MBBS, MS, MCH, Vikas Warikoo MBBS, MS, MCH, Abhijeet Salunke MBBS, MS, Ketul Puj MBBS, MS, MCH

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引用次数: 0

Abstract

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.

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胸大肌和三角胸肌联合皮瓣用于头颈癌重建:对历史皮瓣的回顾

三角胸肌瓣于90年代初被发现并用于鼻部和咽部重建，自那时起，其使用逐年减少。我们已经尝试使用这种具有历史意义的皮瓣和强健的胸大肌皮瓣来重建头颈部的大缺损。虽然这种缺陷的理想皮瓣是自由皮瓣，但在发展中国家，由于资源密集的环境，自由皮瓣并不总是可行的。我们的目的是回顾三角胸大肌联合皮瓣在大型头颈部重建中的应用。对我院30例患者进行回顾性研究。研究中包括的患者是可切除的头颈部癌症，广泛的皮肤受累。采用胸三角肌和胸大肌联合皮瓣重建缺损。在发展中国家，由于缺乏资源和大量的病例，联合使用三角胸肌和胸大肌皮瓣可以有效地替代自由皮瓣。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Operative Techniques in Otolaryngology - Head and Neck Surgery Medicine-Otorhinolaryngology

CiteScore

0.70

自引率

0.00%

发文量

审稿时长

43 days

期刊介绍： This large-size, atlas-format journal presents detailed illustrations of new surgical procedures and techniques in otology, rhinology, laryngology, reconstructive head and neck surgery, and facial plastic surgery. Feature articles in each issue are related to a central theme by anatomic area or disease process. The journal will also often contain articles on complications, diagnosis, treatment or rehabilitation. New techniques that are non-operative are also featured.