Single stage Delto-pectoral flap cover for large defects following extensive neck dissection

Abstract

Bulky neck nodal disease with involvement of the overlying skin develops large post resection defects with skin loss following extensive neck dissection, that may not be suitable for primary closure. We describe a simple and easy to do procedure for cover of such large post surgical resection neck defects by using the Delto-pectoral flap as a single staged procedure.

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

“…The biggest advantage of this procedure is that its a single-stage procedure. [ 7 ] One more stage and associated morbidity is totally avoided. The patients with conventional DP flap usually do not leave the hospital till flap detachment and final inset.…”

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.…”