Abstract
Delto pectoral flap is a thin and pliable cutaneous axial flap suitable for the reconstruction of pharynx and upper oesophagus. Corrosive stricture of the pharyngo oesophageal area can very well be reconstructed by deltopectoral flap. Oesophageal reconstruction by viscera like stomach or colon often produces anastomic stricture at the upper anastomic site with hypopharynx or upper oesophagus. Delto pectoral flap can also be used to reconstruct this anastomotic stricture. Postoperative swallowing is satisfactory when reconstruction is done with this flap.
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References
Anyan S. The pectoralis major myocutaneous flap: A versatile flap for reconstruction in the head and neck. Plast Reconstr Surg 1979; 63: 73.
Akiyama H, Hiyama M, Miyazono H Total oesophageal reconstruction after extraction of the oesophagus. Ann Surg 1975; 182: 547.
Bakamjian VY. A two-stage method for pharyngoesophageal reconstruction with a primary pectoral skin flap. Plast Reconst Surg 1965; 36: 173–84.
Bakamjian VY., Ling MD., Rigg BA. Experience with the medially based deltopectoral flap in reconstructive surgery of the head and neck. Br J Plast Surg 1971; 24: 173.
DeSanto LW., Carpenter RJ. Reconstruction of the pharynx and upper oesophagus after resection for cancer. Head Neck Surg 1980; 2: 369.
Fabian RL. Pectoralis major myocutaneous flap reconstruction of the laryngopharynx and cervical esophagus. Laryngoscope 1988; 98: 1227–31.
Harii K., Ebihara S., Ono I., Saito H., Terui S., Takato T. Pharyngoesophageal reconstruction using a fabricated forearm free flap. Plast Reconst Surg 1985; 75: 463–74.
McGregor IA., McGregor AD. Fundamental Techniques of Plastic Surgery and their surgical applications. 9thEd. Churchill Livingstone: New York, 1995, p. 91.
Jackson IT., Lang W. Secondary oesophagoplasty after pharyngolarygectomy, using a modified deltopectoral flap. Plast Reconstr Surg 1971; 48: 155.
McGregor, Jackson IT. The extended role of deltopectoral flap. Br J Plast Surg 1970; 23: 173.
Ananthakrishnan N., Nachiappan M., Subbarao KS. Island pectoralis major myocutaneous flap for pharyngo-oesophageal strictures prior to oesphagocoloplasty. JR Coll Surg Edinb 2001; 46: 202.
Parks JS., Sako K., Marchetta FC. Reconstructive experience with the medially based deltopectoral flap. Am J Surg 1974; 128: 548.
Reece GP., Bengtson BY., Schusterman MA. Reconstruction of the pharynx and cervical esophagus using free jejunal transfer. Clin Plast Surg 1994; 21: 125–36.
Stell PM. Esophageal replacement by transposed stomach. Arch Otolaryngol 1970; 91: 166.
Stell PM., Maisels DO, Brown GA. Immediate pharyngeal repair after pharyngolaryngectomy using the medially based chest flap. J Laryngol Otol 1970; 84: 11–3.
Theogaraj D., Merritt WH., Acharya G., Cohen IK. The pectoralis major musculocutaneous island flap in single-stage reconstruction of the pharyngoesophageal region. Plast Reconst Surg 1980; 65: 267–76.
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Guha, G., Gupta, S. & Chakraborty, S. Pharyngo oesophageal strictures and its reconstruction by delto pectoral flaps. Indian J Otolaryngol Head Neck Surg 57, 229–234 (2005). https://doi.org/10.1007/BF03008020
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DOI: https://doi.org/10.1007/BF03008020