Abstract
Introduction The deltopectoral flap was first described by Aymard in 1917 for nose reconstruction
but became prominent after 1965 when Bakamjian began to use it for pharyngoesophageal
reconstructions.
Methods This study is a retrospective analysis of patients undergoing surgery in 2022. Among
them, we selected two patients subjected to cervicofacial reconstruction with deltopectoral
flap. Their assessment included age, gender, lesion etiology, defect location, number
of surgical procedures performed per patient, postoperative complications, and the
personal satisfaction of the subjects.
Results Patients underwent cervicofacial reconstruction after tumor resection, and both required
more than a surgical time for pedicle refinement and transection. One patient had
a defect in an operative wound after repositioning the remnant in the donor area leading
to a hypertrophic and hypochromic scar in the surrounding region. In these two cases,
the deltopectoral flap supplied thin skin, with similar texture and color to the cervicofacial
region, a consistent and predictable pedicle, good defect cover, flap safety and reproductivity,
a fast surgical technique, and no need for patient positioning change during the procedure.
Conclusions The deltopectoral flap remains a significant therapeutic option in reconstructing
large head and bone defects despite the advent of microsurgery. It allows for efficient
and reliable tissue transfer with small deformities in the donor area, allowing an
acceptable aesthetic reconstruction.
Descriptors plastic surgery procedures - head and neck neoplasms - surgical flaps - therapeutics
- postoperative complications
Bibliographical Record
