Table of Contents
What is a Deltopectoral flap?
The deltopectoral flap provides a large volume of well-vascularized tissue that affords reliable coverage of the newly reconstructed cervical esophagus and exposed major vessels after exenteration of the central compartment.
What type of flap is Deltopectoral flap?
Bakam- jian first described the deltopectoral (DP) flap in 1965 as a head and neck recon- structive option 1. The DP flap is a pedi- cled axial fasciocutaneous flap based on the internal mammary artery perforator arteries (IMAP) (Figure 1) although the perforator(s) are usually not identified, dissected, nor mobilized.
What is a supraclavicular flap?
The supraclavicular flap is a thin, axial, fasciocutaneous flap that may be used for reconstruction of tracheal-stomal, mandible, intra-oral, parotid, neck (eg. exposed carotid arteries), pharyngeal wall, skull base, and cutaneous facial defects.
What is a flap in head and neck surgery?
In the face, head, and neck, free flaps are most commonly used to restore form and function following major cancer surgery that required removal of vital structures. For example, free flaps can help reconstruct jaw and face defects that were involved with tumor.
How do you delay a Deltopectoral flap?
DELAY TECHNIQUES The most common method is to complete the skin incisions and elevate the distal two-thirds of the flap. The skin flap is then returned to its normal anatomic position. After 10 to 14 days, it is reelevated and rotated into the reconstructive position.
What vein is in the Deltopectoral groove?
The cephalic vein
The cephalic vein is located in the deltopectoral groove (Fig. 26-12), which is formed by the reflections of the medial head of the deltoid and the lateral border of the greater pectoral muscles. The groove can be precisely located by palpating the coracoid process of the scapula.
How long does free flap surgery take?
Your head and neck surgeon will remove the tumor from your jaw and the soft tissue around it. At the same time, your plastic surgeon will remove the bone, tissue, and skin from your donor site. This will take 3 to 4 hours.
What does the supraclavicular artery supply?
Anatomical basis It divides into two main branches: the supraclavicular artery supplying the skin and a branch supplying the trapezius muscle. The constant supraclavicular artery measures 1 to 1.5 mm in diameter and allows the creation of a 3 to 4 cm pedicle.
Why is it called a free flap?
“Free” implies that the tissue is completely detached from its blood supply at the original location (“donor site”) and then transferred to another location (“recipient site”) and the circulation in the tissue re-established by anastomosis of artery(s) and vein(s).