The bilobed deltopectoral advancement flap.

Area of Science:

• Plastic Surgery
• Head and Neck Reconstruction
• Surgical Innovation

Background:

• Cervical defects present complex reconstructive challenges.
• Traditional methods may have limitations in safety and efficacy.
• The deltopectoral flap is a known reconstructive tool.

Purpose of the Study:

• To evaluate a modified bilobed deltopectoral advancement flap for anterior cervical defects.
• To assess the safety and efficacy of this flap in clinical practice.
• To determine its utility in complex reconstructions, including post-laryngectomy defects.

Main Methods:

• Utilized a modified Bakamjian's deltopectoral flap design.
• Employed thin anterolateral neck skin for flap construction.
• Performed the procedure as a single-stage intervention.
• Applied the flap in six clinical cases for anterior cervical defect reconstruction.

Main Results:

• The modified bilobed deltopectoral flap was successfully used in six patients.
• Reconstructions were performed for anterior cervical defects, often after total laryngectomy and radical neck dissection.
• No flap necrosis occurred in any of the patients.
• The flap remained viable even in patients with prior irradiation.

Conclusions:

• The modified bilobed deltopectoral advancement flap is a safe and versatile option for selected anterior cervical defects.
• Its design minimizes pedicle rotation, reducing necrosis risk.
• It offers a convenient, single-stage solution for complex neck reconstructions.