Deltopectoral flap is a widely used flap in reconstruction surgery. A patient presented with extra-oral solitary swelling on the right lower jaw and an intra-oral exophytic growth located along the lower border of right mandibular jaw. Incisional biopsy was done which revealed moderately-differentiated squamous cell carcinoma. Clinical staging was T4N1M0. Treatment plan devised was segmental mandibulectomy along with excision of involved skin, supraomohyoid neck dissection followed by reconstruction. Apron incision with lip split was used. The defect caused by the resection was closed using deltopectoral flap. Deltopectoral flap was preferred for reconstruction as it is convenient for patients with low socio- economic status and for hospitals with less technical facilities. It can easily be raised from anterior chest area because of its pliability. This case report highlights the role of deltopectoral flap as an alternate to free flap for reconstruction.
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http://dx.doi.org/10.29271/jcpsp.2018.06.S125 | DOI Listing |
Indian J Otolaryngol Head Neck Surg
December 2024
Department of ENT, Shree Aggarsain International Hospital, New Delhi, India.
A 64-year-old male with left vocal cord paresis and lung cancer underwent left-sided thyroplasty, followed by chemotherapy. He developed a laryngocutaneous fistula due to silicone block extrusion. The fistula was successfully repaired using a Deltopectoral flap.
View Article and Find Full Text PDFMedicina (Kaunas)
October 2024
Division of Otorhinolaryngology, Department of Surgical Sciences, University of Turin, Via Genova 3, 10126 Turin, Italy.
: The deltopectoral (DP) flap represents a reconstructive option for the head and neck. It is a fasciocutaneous flap raised from the anterior chest wall below the clavicle. Its role partially declined with the arise of free flaps.
View Article and Find Full Text PDFHead Neck
December 2024
Department of Plastic and Reconstructive Surgery, Tokyo Medical and Dental University, Tokyo, Japan.
Background: Various methods for closing tracheocutaneous fistulas have been reported; however, there is no established consensus. This study reports the successful closure of a large tracheocutaneous fistula using a Modified Hinge Flap and DP flap.
Methods: Between July 2014 and December 2023, four patients underwent a modified hinge flap and DP flap for tracheocutaneous fistula at a single center.
Plast Reconstr Surg Glob Open
August 2024
ALERT Comprehensive Specialized Hospital, Department of Pathology, Addis Ababa, Ethiopia.
Indian J Otolaryngol Head Neck Surg
August 2024
Department of Otorhinolaryngology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka 576104 India.
Unlabelled: Conventional deltopectoral flap is a two-staged procedure that needs a prolonged hospital stay, adding to treatment cost as well as patient discomfort and may delay adjuvant treatment. A modified deltopectoral flap, as a single-stage procedure, can overcome these shortcomings. This is a retrospective chart review of prospectively collected clinical data from a tertiary care hospital.
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