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1

Pecorari, Giancarlo, Francesco Bissattini, Dario Gamba, Claudia Pizzo, Gian Marco Motatto, and Giuseppe Riva. "Deltopectoral Flap in Head and Neck Reconstruction." Medicina 60, no. 10 (2024): 1615. http://dx.doi.org/10.3390/medicina60101615.

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Background and Objectives: The deltopectoral (DP) flap represents a reconstructive option for the head and neck. It is a fasciocutaneous flap raised from the anterior chest wall below the clavicle. Its role partially declined with the arise of free flaps. However, it still remains a valid option in patients that could not undergo a reconstruction with free flaps. The aim of this retrospective study was to evaluate the role of the DP flap in head and neck reconstruction, with a focus on surgical outcomes and complications. Materials and Methods: Thirty-one patients who underwent head and neck r
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2

Chan, R. C. L., and J. Y. W. Chan. "Deltopectoral Flap in the Era of Microsurgery." Surgery Research and Practice 2014 (2014): 1–5. http://dx.doi.org/10.1155/2014/420892.

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Background. Our study aimed to review the role of deltopectoral (DP) flap as a reconstructive option for defects in the head and neck region in the microvascular era.Methods. All patients who received DP flap reconstruction surgery at the Department of Surgery, Queen Mary Hospital, between 1999 and 2011 were recruited. Demographic data, indications for surgery, defect for reconstruction, and surgical outcomes were analyzed.Results. Fifty-four patients were included. All but two patients were operated for reconstruction after tumour resection. The remaining two patients were operated for necrot
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3

Shailendra, B. Singh, Kalra Deepanjali, Singh Manisha, and Joshi Himadri. "Single Staged Delto Pectoral Flap – A Case Series." International Journal of Pharmaceutical and Clinical Research 15, no. 11 (2023): 1169–73. https://doi.org/10.5281/zenodo.11230446.

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Introduction: DP flap is a fasciocutaneous flap with axial blood supply, a large size, which is thin and pliable, and is used for the reconstruction of the head and neck area. Its anatomy is reliable and can be elevated from the chest. . It is a work horse flap. . There are various modifications of this flap, like the island one. It is done by deepitialising the bridge and tunneling the flap beneath it, Covering two skin-lined surfaces.  Methods : It is a retrospective case study of 12 patients after taking proper consent for surgery and data for publication performed by our chief surgeon
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4

Nayak, Bibhuti B., and Mohanty Nilamani. "Single stage reconstructions in head and neck surgery using deltopectoral and pectoralis major myocutaneous flaps." Indian Journal of Plastic Surgery 45, no. 01 (2012): 151–53. http://dx.doi.org/10.4103/0970-0358.96611.

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ABSTRACTEven though free tissue transfers are a routine in many centres, pedicle flaps still have a huge roll to play in our country. There are many centres in the country where pedicle flaps are in use because of logistic problems. Deltopectoral and pectoralis muscle flaps are usually preferred for composite cheek defects. When both these flaps are used in combination it is a two-staged procedure. We describe a single-stage procedure to reconstruct a composite cheek defect with pectoralis major myocutaneous flap for lining and single-stage deltopectoral flap for cover. In the available litera
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5

Paryani, Jeetendra. "PMMC deltopectoral (DP) Composite sandwich flap: A innovative locoregional solution for huge complex defects after head and neck cancer surgery." Journal of Clinical Oncology 36, no. 15_suppl (2018): e18003-e18003. http://dx.doi.org/10.1200/jco.2018.36.15_suppl.e18003.

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6

Güerrissi, Jorge Orlando. "Lateral Deltopectoral Flap." Journal of Craniofacial Surgery 20, no. 3 (2009): 885–88. http://dx.doi.org/10.1097/scs.0b013e3181a2dc36.

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7

Portnoy, William M., and Sebastian Arena. "Deltopectoral Island Flap." Otolaryngology–Head and Neck Surgery 111, no. 1 (1994): 63–69. http://dx.doi.org/10.1177/019459989411100113.

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The medially based deltopectoral flap is a proven, reliable, and useful tool in the practice of head and neck and reconstructive surgery. Despite its versatility the flap has several limitations that restrict its use; these include a limited arc of rotation and significant risk of distal flap necrosis when increased length is incorporated from the deltoid region. By conversion of the conventional, parasternally based deltopectoral flap into an island flap supplied by one or two perforating branches of the internal mammary artery, its versatility can be markedly enhanced. This modification prov
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8

Ibrahim, Amir, Bishara Atiyeh, Reem Karami, David M. Adelman, and Nazareth J. Papazian. "The Deltopectoral Flap Revisited." Journal of Craniofacial Surgery 27, no. 2 (2016): e189-e192. http://dx.doi.org/10.1097/scs.0000000000002445.

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9

Liyanage, A. I., M. A. C. Lakmal, Y. Abeywickrama, and D. D. Weerasekara. "Deltopectoral flap reconstruction with primary repair in a patient with cutaneous neck metastasis of thyroid cancer; a case report." Sri Lanka Journal of Surgery 41, no. 2 (2023): 46–49. http://dx.doi.org/10.4038/sljs.v41i2.8899.

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Background: Deltopectoral flap is the most commonly used fasciocutaneous, transpositional flap, which relies on the blood supply of intercostal perforators of the internal thoracic artery, usually requiring skin grafting to the donor site. Cutaneous metastasis of papillary thyroid carcinoma is rare. Here we report a case of deltopectoral flap reconstructive surgery in a patient with cutaneous neck metastasis of papillary thyroid carcinoma.
 Case Presentation: A 65 year old male who underwent a total thyroidectomy in 2013 for papillary thyroid carcinoma, presented with a skin neck metastas
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10

Friedman, M., D. M. Toriumi, and V. Grybauskas. "The Bilobed Deltopectoral Advancement Flap." Archives of Otolaryngology - Head and Neck Surgery 113, no. 6 (1987): 612–14. http://dx.doi.org/10.1001/archotol.1987.01860060038011.

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11

Manfro, Gabriel, Gabriel Alves Freiria de Oliveira, and Roney Gonçalves Fechine Feitosa. "Use of the deltopectoral flap for reconstruction of a complex cervical defect: case report." Journal of Dermatology & Cosmetology 6, no. 3 (2022): 50–51. http://dx.doi.org/10.15406/jdc.2022.06.00208.

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We present a case report of a patient who underwent complex reconstruction of the pharynx and esophagus with microsurgical anterolateral thigh flap and deltopectoral flap for reconstruction of an extensive defect in the cervical region. We will discuss a little about the deltopectoral flap, which was the first choice for the reconstruction of cervical defects in the past, but nowadays it is still an important tool for head and neck defect reconstruction.
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12

Diaz, Robert Zaid, and Arsenio Claro Cabungcal. "Nasolabial Flap Reconstruction for Orofacial Defects: A Case Series." Philippine Journal of Otolaryngology Head and Neck Surgery 36, no. 2 (2021): 25. http://dx.doi.org/10.32412/pjohns.v36i2.1799.

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ABSTRACT
 Objective: To describe our clinical experience with, and functional outcomes of the nasolabial flap for reconstruction of orofacial defects.
 Methods:
 Design: Retrospective Case Series
 Setting: Tertiary National University Hospital
 Participants: Records of 11 patients on whom a nasolabial flap was performed for reconstruction of head and neck defects between January 2013 and December 2018 were analyzed.
 Results: All patients underwent wide excision with or without frozen section, with or without neck dissection, and nasolabial flap closure was perfor
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13

Sabani, Hicham, Keith M'FA, Asmaa Moujahid, et al. "Cervicofacial Defect Reconstruction Using Deltopectoral Flap." SAS Journal of Surgery 7, no. 6 (2021): 289–91. http://dx.doi.org/10.36347/sasjs.2021.v07i06.008.

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The management of face and neck defects has always been a difficult challenge, which tests the maxillofacial surgeons' ability to decide which therapeutic option is suitable for each individual patient, and which tools are to be used to guarantee an optimum management of the patient. We report the case of a patient with recurrent basal cell carcinoma of the chin area. Reconstruction of the large defect after tumor resection was successfully performed by a deltopectoral flap. We believe that this old flap can be a contemporary and effective answer, to difficult question of reconstruction of lar
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14

Kawai, Ken-ichiro, Masao Kakibuchi, Chihiro Hatta, Hiroshi Ogasawara, and Masafumi Sakagami. "Microsurgical Modification of the Deltopectoral Flap." Annals of Plastic Surgery 47, no. 5 (2001): 578–79. http://dx.doi.org/10.1097/00000637-200111000-00023.

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15

East, Charles A., A. F. Stewart Flemming, and Michael D. Brough. "Tracheostomal reconstruction using a fenestrated deltopectoral skin flap." Journal of Laryngology & Otology 102, no. 3 (1988): 282–83. http://dx.doi.org/10.1017/s0022215100104736.

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SummaryTracheostomal stenosis following laryngectomy can prevent satisfactor rehabilitation of a patient, and may be difficult to correct. A reconstructive technique using a flap within a deltopectoral flap to treat this condition is described.
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16

Price, J. C., and R. K. Davis. "The deltopectoral flap vs. the pectoralis major myocutaneous flap. Which one?" Plastic and Reconstructive Surgery 75, no. 5 (1985): 778. http://dx.doi.org/10.1097/00006534-198505000-00096.

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17

Varghese, Bipin T., and Sowrabh Arora. "Immediate deltopectoral flap salvage of a failing anterolateral thigh free flap." Oral Oncology 100 (January 2020): 104451. http://dx.doi.org/10.1016/j.oraloncology.2019.104451.

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18

Başak, Hazan. "Closure of tracheocutaneous defect with deltopectoral flap." Praxis of Otorhinolaryngology 9, no. 2 (2021): 71–74. http://dx.doi.org/10.5606/kbbu.2021.47450.

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19

Aldelaimi, Tahrir N., and Afrah A. Khalil. "Reconstruction of Facial Defect Using Deltopectoral Flap." Journal of Craniofacial Surgery 26, no. 8 (2015): e786-e788. http://dx.doi.org/10.1097/scs.0000000000002056.

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20

Gautam, Anand Narayan, Vicky Khobragade, and Sanjeev Kumar. "CATERPILLAR ADVANCEMENT FOR PARTIALLY NECROSED DELTOPECTORAL FLAP." Journal of Evolution of Medical and Dental Sciences 4, no. 29 (2015): 4926–29. http://dx.doi.org/10.14260/jemds/2015/719.

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21

Murono, Shigeyuki, Eriko Ishikawa, Yosuke Nakanishi, et al. "Closure of tracheoesophageal fistula with prefabricated deltopectoral flap." Asian Journal of Surgery 39, no. 4 (2016): 243–46. http://dx.doi.org/10.1016/j.asjsur.2014.01.003.

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22

Xianjie, Ma, Yan Zheng, Yufeng Ai, et al. "Repair of Faciocervical Scars by Expanded Deltopectoral Flap." Annals of Plastic Surgery 61, no. 1 (2008): 56–60. http://dx.doi.org/10.1097/sap.0b013e31815799f0.

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23

Sasaki, Kenji, Motohiro Nozaki, Takashi Honda, Kohsuke Morioka, Yuji Kikuchi, and Ted Huang. "Deltopectoral Skin Flap as a Free Skin Flap Revisited: Further Refinement in Flap Design, Fabrication, and Clinical Usage." Plastic and Reconstructive Surgery 107, no. 5 (2001): 1134–41. http://dx.doi.org/10.1097/00006534-200104150-00006.

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24

Nishi, Yukiko, Hideaki Rikimaru, Kensuke Kiyokawa, Koichi Watanabe, Noriyuki Koga, and Aritaka Sakamoto. "Development of the Pectoral Perforator Flap and the Deltopectoral Perforator Flap Pedicled With the Pectoralis Major Muscle Flap." Annals of Plastic Surgery 71, no. 4 (2013): 365–71. http://dx.doi.org/10.1097/sap.0b013e3182503c5d.

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25

Miller, S. H. "Development of the Pectoral Perforator Flap and the Deltopectoral Perforator Flap Pedicled With the Pectoralis Major Muscle Flap." Yearbook of Plastic and Aesthetic Surgery 2015 (2015): 18–20. https://doi.org/10.1016/j.yprs.2013.10.008.

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26

McMurtrie, A., G. A. Georgeu, K. Kok, W. V. Carlin, and P. M. Davison. "Novel method of closing a tracheo-oesophageal fistula using a de-epithelialized deltopectoral flap." Journal of Laryngology & Otology 119, no. 2 (2005): 129–31. http://dx.doi.org/10.1258/0022215053420086.

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27

Gujjalanavar, Rajendra Suresh, and Girish A.C. "Total upper and lower eyelid reconstruction using deltopectoral flap." Indian Journal of Plastic Surgery 46, no. 03 (2013): 581–83. http://dx.doi.org/10.4103/0970-0358.122026.

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ABSTRACTTotal upper and lower eyelid unilateral full thickness reconstruction is a surgical challenge. A case of right orbital haemangioma with unilateral complete defect of total upper and lower eyelids with right orbital exenteration is reported, together with the surgical technique of reconstruction. Patient was a 24-year-old female who underwent right orbital exenteration with total upper and lower eyelid excision for orbital haemangioma presented after 3 weeks of the above procedure. In the first stage split thickness skin grafting is used to resurface orbital cavity raw area followed by
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28

Gilar, T., and Hal G. Bingham. "Major head and neck reconstruction using the deltopectoral flap." Plastic and Reconstructive Surgery 79, no. 6 (1987): 1020. http://dx.doi.org/10.1097/00006534-198706000-00095.

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29

Gilas, Tom, Kumao Sako, Mohamed S. Razack, Vahram Y. Bakamjian, Donald P. Shedd, and Peter M. Calamel. "Major head and neck reconstruction using the deltopectoral flap." American Journal of Surgery 152, no. 4 (1986): 430–34. http://dx.doi.org/10.1016/0002-9610(86)90318-1.

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30

Matsumine, Hajime, Kazuyuki Kubo, Atsumori Hamahata, and Hiroyuki Sakurai. "Deltopectoral and Pectoralis Musculocutaneous Flap Technique for Cervical Esophageal Reconstruction after Free-Jejunal-Flap Necrosis." Plastic and Reconstructive Surgery - Global Open 5, no. 8 (2017): e1444. http://dx.doi.org/10.1097/gox.0000000000001444.

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31

Feng, Guan-Ming, Emanuele Cigna, Hsing-Kuang Lai, et al. "Deltopectoral flap revisited: Role of the extended flap in reconstruction of the head and neck." Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery 40, no. 5 (2006): 275–80. http://dx.doi.org/10.1080/02844310600759574.

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32

Akin, Istemihan, Ahmet Torkut, Engin Ustünsoy, Gürkan TaŞkoparan, and Ata Gürzumar. "Results of reconstruction with free forearm flap following laryngopharyngo-oesophageal resection." Journal of Laryngology & Otology 111, no. 1 (1997): 48–53. http://dx.doi.org/10.1017/s0022215100136400.

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AbstractThe main challenge after total laryngopharyngeal and cervical oesophageal resection for laryngopharyngeal carcinoma, is to provide a suitable feeding conduit which improves the quality of life for the patient. Reconstruction with a tubed free forearm flap can solve the feeding problem to some extent, providing a thin and pliable fasciocutaneous conduit that accommodates well with the thin mucosa of the pharynx and oesophagus.In this study immediate reconstruction of the pharyngo-oesophagus by free forearm flaps is reported in nine patients with advanced laryngopharyngeal and oropharyng
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33

Ma, Xianjie, Yang Li, Weiyang Li, et al. "Reconstruction of Large Postburn Facial-Scalp Scars by Expanded Pedicled Deltopectoral Flap and Random Scalp Flap." Journal of Craniofacial Surgery 28, no. 6 (2017): 1526–30. http://dx.doi.org/10.1097/scs.0000000000003902.

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34

Ma, Xianjie, Yang Li, Weiyang Li, et al. "Reconstruction of Facial-Cervical Scars With Pedicled Expanded Deltopectoral Flap." Journal of Craniofacial Surgery 28, no. 6 (2017): 1554–58. http://dx.doi.org/10.1097/scs.0000000000003901.

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35

Sert??rio, Celso Benedito, and Rog??rio Aparecido Dedivitis. "Deltopectoral Flap for Reconstruction after Head and Neck Cancer Resections." Plastic and Reconstructive Surgery 117, no. 3 (2006): 1055–56. http://dx.doi.org/10.1097/01.prs.0000204383.88891.0c.

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36

Balakrishnan, Chenicheri, Kailash Narasimhan, Tolga Gursel, Ollie Jackson, and Adam Schaffner. "Closure of Orocutanous Fistula Using a Pedicled Expanded Deltopectoral Flap." Canadian Journal of Plastic Surgery 16, no. 3 (2008): 178–80. http://dx.doi.org/10.1177/229255030801600305.

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37

Song, Baoqiang, Jianhui Zhao, Shuzhong Guo, et al. "Repair of Facial Scars by the Free Expanded Deltopectoral Flap." Plastic and Reconstructive Surgery 131, no. 2 (2013): 200e—208e. http://dx.doi.org/10.1097/prs.0b013e3182789c02.

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38

Rebelo, Marco, António Ferreira, Rui Barbosa, Ricardo Horta, Jorge Reis, and José Amarante. "Deltopectoral flap: an old but contemporaneous solution for neck reconstruction." Journal of Plastic, Reconstructive & Aesthetic Surgery 62, no. 1 (2009): 137–38. http://dx.doi.org/10.1016/j.bjps.2008.05.033.

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39

Balasubramanian, Deepak, Subramania Iyer, and Krishnakumar Thankappan. "Tracheoesophageal puncture site closure with single perforator-based deltopectoral flap." Head & Neck 35, no. 2 (2011): E60—E63. http://dx.doi.org/10.1002/hed.21872.

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40

Hemant, A. Saraiya, and A. Tankshali Rajen. "Mucormycosis at pectoralis major myocutaneous flap donor site." Indian Journal of Plastic Surgery 39, no. 02 (2006): 182–84. http://dx.doi.org/10.1055/s-0039-1699155.

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ABSTRACT Background: Advanced carcinomas involving the head and neck present a major therapeutic challenge because of their poor prognosis particularly in old age irrespective of the treatment modality used. Materials and Methods: A 71-year-old patient presented with right-sided buccal mucosal carcinoma involving the mandible. Composite resection with removal of mandible and radical neck dissection was done. Pectoralis major myocutaneous flap (PMMC) with deltopectoral flap was done to cover the defect. On the 14th day mucormycosis was noted on pectoralis major myocutaneous flap donor site. Rad
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41

Tan, Barrie Yau-Boon, and Mark Khoo. "S147 – Pectoralis Major Flaps: A Workhorse in Today's Free Flap Era." Otolaryngology–Head and Neck Surgery 139, no. 2_suppl (2008): P125—P126. http://dx.doi.org/10.1016/j.otohns.2008.05.320.

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Objectives To study the use, complication rate, and efficacy of pedicled local regional flaps for head and neck reconstruction, and to compare these results with those of microvascular free flap reconstruction. Methods Retrospective analysis of all head and neck oncologic resections requiring flap reconstruction in a tertiary head and neck surgery centre over a 6-year period from 2001–2007. Results In total, 77 operations with flap reconstruction were performed. 44 resections employed pedicled locoregional flaps, comprising 33 pectoralis major, 3 trapezius, 3 cervical rotation, 1 deltopectoral
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42

Narayan, Naveen, and Kamal Kumar Manakchand. "Combining free tissue transfer with pedicled flap in reconstruction of extensive oromandibular malignancy defects: a clinical study." International Surgery Journal 7, no. 2 (2020): 376. http://dx.doi.org/10.18203/2349-2902.isj20200054.

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Background: Extensive composite defects of the oromandibular site involve skin, mandible, soft tissue and oral mucosa. Though many opine that with the coming on of free flap surgery, the pedicled flap is an outdated surgical option, the latter still has its uses. Free flaps are criticized as being medically risky, expensive, and time-consuming. Combining both these flaps in a single surgery would bring in the baggage of all negatives along with the benefits of these flaps.Methods: Over a period of 3 years, 13 patients with expected large composite oral defects after ablative surgery for malign
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43

Kerdoud, Ouassime, Rachid Aloua, and Faiçal Slimani. "The deltopectoral flap in full-thickness cheek defect: A case report." Annals of Medicine and Surgery 62 (February 2021): 119–22. http://dx.doi.org/10.1016/j.amsu.2021.01.025.

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44

Omar, Othman. "Primary closure of the deltopectoral flap-donor site without skin grafting." Zanco Journal of Medical Sciences 18, no. 3 (2015): 781–85. http://dx.doi.org/10.15218/zjms.2014.0033.

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45

Ogunkeyede, AyodeleOludare, AdebiyiB Aderibigbe, IsmailaAdigun Lawal, HabeebK Omokanye, OlusholaA Afolabi, and AdekunleD Dunmade. "Combined turnover and deltopectoral flap in closure of persistent pharyngocutaneous fistula." Nigerian Journal of Plastic Surgery 12, no. 1 (2016): 21. http://dx.doi.org/10.4103/0794-9316.193737.

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46

Hwang, Kun. "The Origins of Deltopectoral Flaps and the Pectoralis Major Myocutaneous Flap." Journal of Craniofacial Surgery 27, no. 7 (2016): 1845–48. http://dx.doi.org/10.1097/scs.0000000000003057.

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47

Chaturvedi, P., P. S. Pai, K. A. Pathak, D. A. Chaukar, M. S. Deshpande, and A. K. D’Cruz. "Simultaneous reconstruction of large skin and mucosal defect following head and neck surgery with a single skin paddle pectoralis major myocutaneous flap." Journal of Laryngology & Otology 119, no. 4 (2005): 303–5. http://dx.doi.org/10.1258/0022215054020511.

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The pectoralis major myocutaneous (PMMC) flap is commonly used for head and neck reconstruction especially in impoverished nations. PMMC is a sturdy pedicled flap with relatively fewer complications, the learning curve is short and no specialized training in microvascular surgery is needed in order to use this flap. In a defect that requires a large skin and mucosal lining the authors routinely use either a bi-paddle PMMC or a combination of PMMC (for the mucosal lining) and a delto-pectoral flap (for the skin defect). It is indisputable that free tissue transfer is a better way of reconstruct
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48

Okochi, Masayuki, Hiromi Okochi, Takao Sakaba, and Kazuki Ueda. "The Reconstruction of the Donor Site of DP Flap Using Thoracodorsal Artery Perforator Flap." Plastic and Reconstructive Surgery - Global Open 5, no. 10 (2017): e1521. http://dx.doi.org/10.1097/gox.0000000000001521.

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49

Mortensen, Melissa, and Eric M. Genden. "Role of the Island Deltopectoral Flap in Contemporary Head and Neck Reconstruction." Annals of Otology, Rhinology & Laryngology 115, no. 5 (2006): 361–64. http://dx.doi.org/10.1177/000348940611500508.

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50

SAKAKIBARA, Michiko, Nozomi YOKOYAMA, Akihiro SATOU, Noriyuki SUZUKI, and Motohito YAMADA. "A case of lower lip squamous cell carcinoma with deltopectoral flap reconstruction." Skin Cancer 31, no. 1 (2016): 6–9. http://dx.doi.org/10.5227/skincancer.31.6.

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