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June 1974

Deltopectoral Flaps: Repair of Face and Neck Defects Caused by Radical Excision of Malignant Tumors

Author Affiliations

Loma Linda, Calif
From the Division of Plastic and Reconstructive Surgery (Dr. Zirkle) and the Department of Surgery (Dr. Thompson), Loma Linda University, School of Medicine, Loma Linda, Calif.

Arch Surg. 1974;108(6):770-775. doi:10.1001/archsurg.1974.01350300014005

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.

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