Five cases are reported where face and neck defects created by radical excisions of cancer were repaired using deltopectoral flaps. In one patient the flap replaced a resected cervical esophagus. In another it was used with cartilage to repair a tracheal defect. In a third it replaced the excised tonsil fossa and adjacent structures. And in two it closed external soft tissue defects. The flap may be laterally based and depend on the acromiothoracic vessels or medially based and depend on the intercostal perforative vessels. The method requires only one secondary operation, the detachment of the flap some three weeks later.
Zirkle TJ, Thompson RJ. Deltopectoral FlapsRepair of Face and Neck Defects Caused by Radical Excision of Malignant Tumors. Arch Surg. 1974;108(6):770-775. doi:10.1001/archsurg.1974.01350300014005