Single stage reconstructions in head and neck surgery using deltopectoral and pectoralis major myocutaneous flaps

Abstract

Even though free tissue transfers are a routine in many centres, pedicle flaps still have a huge roll to play in our country. There are many centres in the country where pedicle flaps are in use because of logistic problems. Deltopectoral and pectoralis muscle flaps are usually preferred for composite cheek defects. When both these flaps are used in combination it is a two-staged procedure. We describe a single-stage procedure to reconstruct a composite cheek defect with pectoralis major myocutaneous flap for lining and single-stage deltopectoral flap for cover. In the available literature search, single-stage DP and PMMC have not been described for management of composite cheek defect.

Turned in fasciocutaneous island flap from face and neck based on subdermal microcirculation for reconstruction of the oral cavity following cancer surgery

“…Oral cancer accounts for 12.5% of overall cancers in India[ 1 2 ] contributing significantly to the challenges faced by oncosurgeons and plastic surgeons. Based on the complexity, the reconstruction of buccal mucosa defect has been done with direct closure,[ 1 ] skin grafting[ 3 ] or various flaps, such as the pectoralis major myocutaneous flap (PMMC), once a workhorse for head and neck reconstruction,[ 4 5 ] the free radial artery forearm flap (FRAFF),[ 2 5 6 ] the forehead flap,[ 7 ] the deltopectoral flap,[ 8 9 ] the temporalis muscle flap and fascia,[ 10 11 ] anterolateral thigh (ALT) flap[ 2 ] and the platysma flap. [ 12 13 14 15 16 ] However, many of these flaps may be bulky and require extensive surgery and time.…”

Revisiting the Cervicodeltopectoral Flap for Reconstruction of Cutaneous Head and Neck Defects: Technique Description and Clinical Presentation Correlates

“…Patients with multiple comorbidities or those undergoing treatment in areas without the abovespecialized resources may be better served by locoregional reconstructive options. The use of the supraclavicular flap [1][2][3][4] and deltopectoral flap [5][6][7][8][9] are well-described in the literature for head and neck reconstruction as two potential viable options. Lejour has extensively described the utility of the deltopectoral flap in head and neck reconstruction, also utilizing the flap for cervical defects as well with technical modifications.…”