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Cirugía Plástica Ibero-Latinoamericana
versão On-line ISSN 1989-2055versão impressa ISSN 0376-7892
Resumo
BENITO DUQUE, P.; ELENA SORANDO, E.; DE JUAN HUELVES, A. e CANO ROSAS, M.. Colgajo deltopectoral bilateral para el tratamiento de úlceras por radionecrosis en el cuello: Caso clínicoBilateral deltopectoral flap for neck radionecrotic ulcers treatment: Case report. Cir. plást. iberolatinoam. [online]. 2006, vol.32, n.3, pp.219-223. ISSN 1989-2055.
Bakamjian introduced the deltopectoral skin flap en 1965, and there after it was used extensively for reconstructive surgery of the head and neck. Within the next years, flap failure rates of 20% to 25% were reported, and several alternative methods of reconstruction have supplanted the preeminent position of the deltopectoral flap. This work is a review of the reconstructive experience afforded by several authors and evaluates the technical modifications used to enhance the reliability of this flap. The authors describe the ability of the deltopectoral flap raised bilaterally to provide tissue enough for an extensive irradiated neck, allowing resurfacing a bilateral cutaneous defect after radiation therapy. The deltopectoral flap remains a useful and reliable tissue source for superficial neck reconstruction by implementing several technical modifications.
Palavras-chave : Neck; Ulcer; Radiotherapy; Deltopectoral flap.