The Bilobed Deltopectoral Advancement Flap

Abstract

\s=b\The bilobed deltopectoral advancement flap is a versatile reconstructive option for selected cervical defects. This modified version of Bakamjian's classic deltopectoral flap utilizes thin anterolateral neck skin to cover complex anterior neck defects. It offers the safety of a minimally rotated pedicle to reduce the chance of flap necrosis from kinking, and the convenience of a single-stage procedure. We have used this flap six times in our clinical experience. Typically, the defects were located in the anterior cervical region, and many of them were reconstructed following total laryngectomy and radical neck dissection. There was no incidence of flap necrosis in the patients, including those who had had preoperative irradiation.

Soft Tissue Reconstruction After Hemimandibulectomy in Oral Malignancies: A Retrospective Study

“…38% did not require any extra oral reconstruction. Deltopectoral flap, the ''work horse'' of an earlier era [6] is also used for reconstruction in 12% of the cases in the present study. PMMC has also been used as a single flap for the reconstruction for both extra oral and infra oral defects [16,17] in 53 patients.…”

“…The role of the reconstructive surgeon is to replace missing tissues and to restore the important functions of the oral cavity [5,6]. Restoration of mandibular defects has evolved through several stages.…”

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

“…Freidman et al utilized the bilobed DP flap to cover small anterior neck defects as a single staged procedure after laryngectomy (2) . However, this procedure may not be suitable to cover large lateral neck defects as was there in our patients.…”

Two-Lobed Advancement Flap for Cutaneous Helical Rim Defects

“…Massive wounds on the trunk may be covered with a trapezius myocutaneous bilobe 12 or a deltopectoral bilobe. 13 Some of the bilobe flaps described at nonnasal sites are traditional bilobes. That is, their secondary lobe is positioned to exploit a region of laxity.…”

“…On the sole of the foot, as on the nose, the bilobe may facilitate closure in an area of stiff, unyielding skin. Massive wounds on the trunk may be covered with a trapezius myocutaneous bilobe 12 or a deltopectoral bilobe 13 …”