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Experience with the deltopectoral flap

B Kirkby, C Krag, O J Siemssen

    Scandinavian Journal of Plastic and Reconstructive Surgery
    |January 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

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    Deltopectoral flaps are effective for head and neck reconstruction. Irradiated or internal recipient sites significantly increase reconstruction risks and prolong hospital stays.

    Area of Science:

    • Plastic Surgery
    • Head and Neck Surgery
    • Reconstructive Surgery

    Background:

    • Head and neck cancer often requires complex reconstructive procedures.
    • The deltopectoral flap is a commonly used option for reconstruction.
    • Identifying factors influencing reconstruction outcomes is crucial for patient care.

    Purpose of the Study:

    • To retrospectively analyze the outcomes of deltopectoral flaps in head and neck reconstruction.
    • To identify significant risk factors negatively impacting reconstruction success.
    • To evaluate factors affecting patient hospital stay.

    Main Methods:

    • Retrospective analysis of 103 non-delayed deltopectoral flaps in 86 patients.
    • Statistical analysis to detect factors with negative influence on reconstruction.

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  • Assessment of flap failure rates and hospital stay duration.

    • Main Results:

    • Irradiated recipient site and internal recipient site location were significant risk factors (p<0.05).
    • Flap length, patient age, sex, and comorbidities did not significantly affect flap failure.
    • Hospital stay was significantly prolonged by prior radiotherapy, internal reconstructions, or flap failure (p<0.05).

    Conclusions:

    • Deltopectoral flap reconstruction in the head and neck is generally reliable.
    • Pre-operative radiotherapy and internal recipient site location are critical factors to consider.
    • Optimizing surgical planning can mitigate risks and improve patient recovery.