14. Versatile Deltopectoral Flap - How to Take Maximum Benefit of This Flap
Jamil Memon1, Ashfaque Hussain Rana2 and Sohail A. Malik1
ABSTRACT
Objective: To take the maximum benefits of the deltopectoral flap as a reconstructive option for defects in the head and neck region in the microvascular era.
Study Design: Retrospective / observational study
Place and Duration of Study: This study was conducted at the ENT Department, Al-Tibri Medical College & Hospital (Isra University Karachi Campus) from January 2016 to March 2017.
Materials and Methods: 21patients were included in this study, age range between 40 and 65. Patients were divided into two groups. A group with eight patients dealt with long arc of deltopectoral flap and group B thirteen patients with short arc.
Results: In A group out of eight one showed blackening of recipient site without smell, that blackening was just a superficial epidermis, deep part of the recipient site was healthy. Second showed complete necrosis of that part which was attached to recipient site. In group B, grafts remained healthy in all patients.
Conclusion: Results of group B patient were better because we made the arc of rotation smaller, that means recipient was not extended upto shoulder instead kept on chest and shifting it to recipient site with little tilt and flexion of neck.
Key Words: Deltopactoral flap, Vascularity, Short arc.
Citation of articles: Memon J, Rana AH, Malik SA. Versatile Deltopectoral Flap - How to Take Maximum Benefit of This Flap. Med Forum 2018;29(12):52-54.