“…3,6 Other advantages cited for the deep plane dissection include a more avascular plane of elevation, improved mobility, and increased tolerance of closure under tension. 3,13 Although our study design limits comparisons between techniques, we acknowledge a minor wound complication rate of 31%, reflecting eight cases of superficial epidermolysis that resolved without any intervention, in addition to three cases of distal tip necrosis.…”
Compound cervicofacial and cervicothoracic rotation flaps provide a straightforward, reliable, and efficient means to reconstruct complex defects of the face, lateral skull base, and neck, with the potential for excellent cosmetic results.
“…3,6 Other advantages cited for the deep plane dissection include a more avascular plane of elevation, improved mobility, and increased tolerance of closure under tension. 3,13 Although our study design limits comparisons between techniques, we acknowledge a minor wound complication rate of 31%, reflecting eight cases of superficial epidermolysis that resolved without any intervention, in addition to three cases of distal tip necrosis.…”
Compound cervicofacial and cervicothoracic rotation flaps provide a straightforward, reliable, and efficient means to reconstruct complex defects of the face, lateral skull base, and neck, with the potential for excellent cosmetic results.
“…Cependant, elle est facilitée par la voie d'abord prolongée en cervical et par un plan relativement exsangue. Aucun des auteurs [8][9][10][11] ne rapporte de paralysie faciale définitive dans leurs séries de malade. Le décollement dans le plan profond est prolongé selon l'importance de la perte de substance.…”
Section: Discussionunclassified
“…Delay et al [11] ont utilisé l'épaisseur de ce lambeau pour recouvrir des structures osseuses exposées (zygoma) et pour réparer une perte de substance transfixiante de la joue. Les différentes publications montrent ainsi la grande fiabilité et la grande plasticité du lambeau cervicojugal composite.…”
“…3 For large defects in zone 1, large cervicofacial flaps can be designed by many authors. [6][7][8] For large defects in zone 2, medially based cervicopectoral flaps based on anterior thoracic perforators of the internal mammary artery can be planned. Although medially based deltopectoral flap, trapezius, pectoralis major, and latissimus dorsi flaps are mentioned for cheek reconstruction, microvascular transfer frequently provides a better result for large defects than those pedicled regional alternatives.…”
The deltoid free flap is a thin, reliable flap that is easily dissected from the posterolateral arm. It has large-caliber vessels and is capable of sensory reinnervation to portions of the flap above the deltoid/triceps groove through the lateral brachial cutaneous nerve. There is little sensory return to the large vascular territory, which can be extended inferiorly below the deltoid triceps groove. The donor site can be closed primarily or skin grafted and when large may be objectionable to some patients. The flap is an excellent choice for extremity soft-tissue reconstruction on the plantar or palmar surfaces. Because of its excellent color-matching and texture-matching characteristics, it has recently been widely used for the reconstruction of soft-tissue defects during oral and maxillofacial surgery.
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