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CC BY-NC-ND 4.0 · Indian J Plast Surg 2012; 45(01): 151-153
DOI: 10.4103/0970-0358.96611
Case Report
Association of Plastic Surgeons of India

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

Bibhuti B. Nayak
Department of Plastic Surgery, S.C.B. Medical College, Cuttack, Orissa, India
,
Mohanty Nilamani
Department of Plastic Surgery, S.C.B. Medical College, Cuttack, Orissa, India
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Publikationsdatum:
31. Dezember 2019 (online)

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ABSTRACT

Even though free tissue transfers are a routine in many centres, pedicle flaps still have a huge roll to play in our country. There are many centres in the country where pedicle flaps are in use because of logistic problems. Deltopectoral and pectoralis muscle flaps are usually preferred for composite cheek defects. When both these flaps are used in combination it is a two-staged procedure. We describe a single-stage procedure to reconstruct a composite cheek defect with pectoralis major myocutaneous flap for lining and single-stage deltopectoral flap for cover. In the available literature search, single-stage DP and PMMC have not been described for management of composite cheek defect.

KEY WORDS

Cheek defect - pectoralis major myocutaneous flap - platysma myocutaneous flap - single-stage deltopectoral flap
 
  • 1 Ariyan S, Cuono CB. Myocutaneous flaps for Head and Neck Reconstruction. Head Neck Surg 1980;2:321-45.
  • 2 Bakamjian VY, Long M, Rigg B. Experience with the medially based deltopectoral flap in reconstructive surgery of the head and neck. Br J Plast Surg 1971;24:174-83.
  • 3 Becker FF, Langford FP. Deep-plane cervicofacial flap for reconstruction of large cheek defects. Arch Otolaryngol Head Neck Surg 1996;122:997-9.
  • 4 Moore BA, Wine T, Netterville JL. Cervicofacial and Cervicothoracic rotation flaps in head and neck reconstruction. Head Neck 2005;27:1092-101.
  • 5 Su T, Zhao Y-F, Liu B, Hu Y-P, Zhang W-F. Clinical review of three types of platysma myocutaneous flap. Int J Oral Maxillofac Surg 2006;35:1011-5.
  • 6 Kocer U, Ozdemir R, Ulusoy MG, Uysal A, Sungur N. Anatomy of the platysma muscle and the evaluation of it for the reconstruction of facial defects. J Craniofac Surg 2005;16:463-70.
  • 7 Purkayastha J, Hazarika B. Single stage delto-pectoral flap cover for large defects following extensive neck dissection. Indian J Otolaryngol Head Neck Surg 2006;59:33-4.
  • 8 Daniel RK, Cunningham DM, Taylor GI. The deltopectoral flap: An anatomical and hemodynamic approach. Plast Reconstr Surg 1975;55:275-82.
  • 9 McGregor IA, Jackson IT. The Extended role of the deltopectoral flap. Br J Plast Surg 1970;23:173-85.