Experience with the medially based deltopectoral flap in reconstructive surgery of the head and neck

Bakamjian, Vahram Y.; Long, Michael E.; Rigg, Bruce M.

doi:10.1016/s0007-1226(71)80037-1

Cited by 202 publications

(55 citation statements)

References 13 publications

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“…Good therapeutic effects are achieved with reconstruction by means of Bakamjian fasciocutaneous flaps, which have adequate thickness and colour (11,12,13). However, despite its advantages, the method has been abandoned due to deformities on the flap donor sites on the chest and shoulder.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Management and Outcome of Treatment of Late Results of Neck Burns in 321 Patients

Wójcicki¹,

Rychlik²

2009

Polish Journal of Surgery

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The aim of the study was to evaluate respectively the effectiveness of therapy of late complications of neck burns in the form of scars and contractures in the material of one clinical centre in the past 31 years . Material and methods. 321 patients aged from 1 to 69 (mean age: 8 years) years with late complications of neck burns were treated in the Plastic Surgery Hospital in Polanica Zdrój in the years 1976-2007. The majority of patients were children aged from 1 to 14 years -276. In total 589 surgical procedures were performed. The following therapeutic modalities were applied: scar excision followed by local reconstructive flap surgery -434 cases; full thickness and split-thickness skin grafting -124 cases; local flap reconstruction with the use of expander -18 cases; transferred pedicle flap from adjacent tissues -3 cases, flap from other body regions on microvascular anastomosis -11 cases; and dermabrasion -19 cases. Results. 285 (89%) patients were satisfied with the treatment outcome and accepted the appearance of scars without complaints. The remaining 36 patients did not find their esthetic appearance after reconstructive surgery satisfactory and did not accept the deformities. Conclusions. Deciding on the management and choosing a surgical modality in patients with postburn skin scarring, a plastic surgeon must take into consideration the kind and severity of the deformity. Surgical treatment of severe scarring is a complex and multi-stage procedure.

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Section: Discussionmentioning

confidence: 99%

Analysis of Management and Outcome of Treatment of Late Results of Neck Burns in 321 Patients

Wójcicki¹,

Rychlik²

2009

Polish Journal of Surgery

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“…12 Flap necrosis rates as high as 10% to 25% have been reported in early experiences. [13][14][15][16][17] With some technical modifications, complete flap survival approaches 100%. 12,18 The primary blood supply to the deltopectoral flap comes from the internal mammary artery perforators.…”

Section: Discussionmentioning

confidence: 99%

Internal mammary artery perforator (IMAP) flap for tracheostoma reconstruction

Roblin

Chevray

2006

Head & Neck

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“…The best flaps are those near to the recipient site such as the deltopectoral, retroauricular, and submental or expanded skin from the neck [1,10,13,14]. In addition to the external layer replacement, the above material can be also prelaminated or prefabricated, and used for total lower lip reconstruction.…”

Section: Discussionmentioning

confidence: 99%

Total lower lip reconstruction

Kobus¹

2003

Eur J Plast Surg

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Ten cases of total lower lip reconstruction are reviewed. The total lip defects resulted from tumor resection (n=6), trauma (n=3), and noma (n=1). There were concomitant chin and mandible defects in three and four patients. The planning and choice of operative methods depended on the quality of the surrounding tissue and the patient's age, sex, occupation, and general health. Local procedures and tissue transposition from the head and neck region were used in eight cases; distant flaps were necessary in two cases. All patients achieved satisfactory functional and esthetic results. The author's experience and evaluation of various surgical methods are presented with special regard to the combined use of local and distant tissue to achieve an optimal outcome.

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Experience with the medially based deltopectoral flap in reconstructive surgery of the head and neck

Cited by 202 publications

References 13 publications

Analysis of Management and Outcome of Treatment of Late Results of Neck Burns in 321 Patients

Analysis of Management and Outcome of Treatment of Late Results of Neck Burns in 321 Patients

Internal mammary artery perforator (IMAP) flap for tracheostoma reconstruction

Total lower lip reconstruction

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