PDF(Pubmed)
Abstract：
Conventional deltopectoral flap is a two-staged procedure that needs a prolonged hospital stay, adding to treatment cost as well as patient discomfort and may delay adjuvant treatment. A modified deltopectoral flap, as a single-stage procedure, can overcome these shortcomings. This is a retrospective chart review of prospectively collected clinical data from a tertiary care hospital. The patients who had undergone a deltopectoral flap for the reconstruction of the neck defects at our hospital between July 2017 and July 2021 were considered for analysis. We present our results with a single-stage deltopectoral flap that was used to reconstruct medium-to-large-size defects of the neck, along with clinical illustrations as appropriate. This study was approved by the Institutional Ethical Committee (number: IEC 702-2021). A total of six patients received single-stage deltopectoral flap during the study period, of which five were for oncosurgical defects, and one had necrotizing fasciitis. The healing and overall outcome were optimal in all cases, with no flap loss. In two of these cases, the donor site was closed primarily, and in the rest, a split-thickness skin graft was used. Our results reiterate the tremendous practical value of a single-stage deltopectoral flap in the primary reconstruction of medium- to large-sized surgical defects of the neck, even in this era of free tissue transfer.
UNASSIGNED: The online version contains supplementary material available at 10.1007/s12070-024-04641-8.
UNASSIGNED: The online version contains supplementary material available at 10.1007/s12070-024-04641-8.
摘要：
传统的胸前瓣是一种需要延长住院时间的两阶段手术，增加治疗成本以及患者的不适，并可能延迟辅助治疗。改良的三角肌皮瓣，作为一个单阶段程序，可以克服这些缺点。这是对三级医院前瞻性收集的临床数据的回顾性图表回顾。考虑在2017年7月至2021年7月期间在我们医院接受过胸前皮瓣重建颈部缺损的患者进行分析。我们用单级三角肌皮瓣展示了我们的结果，该皮瓣用于重建颈部的中型到大型缺损，以及适当的临床插图。这项研究得到了机构伦理委员会的批准（编号：IEC702-2021）。研究期间共有6例患者接受了单期三角肌皮瓣,其中五个是肿瘤外科缺陷，其中一人患有坏死性筋膜炎。在所有情况下，愈合和总体结果都是最佳的，没有皮瓣损失。在其中两个案例中，捐赠基地主要是关闭的，在其余的，使用了分层厚度的皮肤移植物。我们的结果重申了单级三角肌皮瓣在颈部大中型手术缺损的初次重建中的巨大实用价值，即使在这个免费组织转移的时代。
■在线版本包含补充材料，可在10.1007/s12070-024-04641-8获得。
■在线版本包含补充材料，可在10.1007/s12070-024-04641-8获得。
