Experience With the Deltopectoral Flap

Mendelson, Bryan C.; Woods, John E.; Masson, James K.

doi:10.1097/00006534-197759040-00023

Cited by 4 publications

(3 citation statements)

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“…14 Mendelson 14 stated that 23% (5 of 22) of DP flaps used to correct full-thickness head-and-neck defects were lost. In our series, there was no difference in the success rates between the two groups (91.3% of DP flaps vs. 90% of L-DP flaps), and only one folded flap in the L-DP flap group (14%, 1 of 7) exhibited total necrosis.…”

Section: Discussionmentioning

confidence: 99%

“…In a review of the English language literature, no previous report of an immediately transferred L-DP flap has been found. Only a few reports 4,7,14,15 are mentioned, and all disclosed a preliminarily delayed procedure performed 2À3 weeks before the main surgery. Similar to other common reconstruction methods, our immediate L-DP flaps had a 90% success rate.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of conventional and L-extension deltopectoral flaps in head-and-neck reconstructions

Chen¹,

Lee²,

Wu³

et al. 2012

Journal of Dental Sciences

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Background/purpose: In this study, we investigated outcomes for conventional deltopectoral (DP) flaps and L-extension deltopectoral (L-DP) flaps in head-and-neck reconstructions. Materials and methods: Twenty-three conventional DP flaps and 10 L-DP flaps were created in 33 patients. The latter flaps were applied with no delay. The flaps were folded only in the L-DP-flap group. Seven of 10 L-DP flaps were folded to become bilayered flaps in order to repair full-thickness defects. Flap success rates and complication rates were compared between the conventional DP-flap and L-DP-flap groups. Results: Success rates were 91.3% in the DP-flap group and 90% in the L-DP-flap group. Overall complication rates of the transferred flaps were 30.4% and 40% for DP and L-DP flaps, respectively. Complications in the two groups were analyzed by a Chi-square test, and no significant differences were found. Conclusions: Although the DP flap is considered to be the "aged workhorse" in contemporary head-and-neck reconstructions, it was shown to be a beneficial regional flap with a dependable pedicle and easy technique. The L-DP flap is of value particularly when used to treat fullthickness defects of the head-and-neck.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Comparison of conventional and L-extension deltopectoral flaps in head-and-neck reconstructions

Chen¹,

Lee²,

Wu³

et al. 2012

Journal of Dental Sciences

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“…The old technique seemed to have been relegated to history because of the high rates of necrosis of the distal flap, which ranged from 10% to 50% in cases of reconstruction of the oral cavity or pharyngoesophagus [5,6,13,17]. Bakamjian et al refined the flap, and proposed delaying it in patients with diabetes, arteriosclerosis, lupus erythematosus, malnutrition, anaemia, emaciation, or of advanced age [5].…”

Section: Discussionmentioning

confidence: 99%

Deltopectoral flap revisited: Role of the extended flap in reconstruction of the head and neck

Feng

Cigna

Lai

et al. 2006

Scandinavian Journal of Plastic and Reconstructive Surgery and

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The extended deltopectoral flap is still the best choice in selected cases. During the period 1987-2004, 34 patients required reconstruction of the head and neck using this flap. Twenty-nine had had one or more failed attempts at microsurgical reconstruction after excision of cancer. Five were treated primarily. The flap was divided at least three weeks after the primary operation. All 34 survived, and there were no donor site complications. Twenty-seven patients had an uncomplicated outcome, but the remaining seven required later closure or skin grafting, usually under local anaesthesia, for complications. The extended deltopectoral flap has been used successfully to provide stable coverage of defects in the head and neck and should remain in the armamentarium of reconstructive microsurgeons.

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Comparison of deltopectoralis flap and free radial forearm flap in reconstruction after oral cancer ablation

Chen

Lin

et al. 2005

Oral Oncology

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Experience With the Deltopectoral Flap

Cited by 4 publications

References 0 publications

Comparison of conventional and L-extension deltopectoral flaps in head-and-neck reconstructions

Comparison of conventional and L-extension deltopectoral flaps in head-and-neck reconstructions

Deltopectoral flap revisited: Role of the extended flap in reconstruction of the head and neck

Comparison of deltopectoralis flap and free radial forearm flap in reconstruction after oral cancer ablation

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