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Repair of Face and Neck Defects Caused by Radical Excision of Malignant Tumors

Thomas J. Zirkle, MD; Ralph J. Thompson, Jr, MD

AMA Arch Surg. 1974;108(6):770-775.

Abstract
Five cases are reported where face and neck defects created by radical excisions of cancer were repaired using deltopectoral flaps. In one patient the flap replaced a resected cervical esophagus. In another it was used with cartilage to repair a tracheal defect. In a third it replaced the excised tonsil fossa and adjacent structures. And in two it closed external soft tissue defects. The flap may be laterally based and depend on the acromiothoracic vessels or medially based and depend on the intercostal perforative vessels. The method requires only one secondary operation, the detachment of the flap some three weeks later.

Author Affiliations
Loma Linda, Calif

From the Division of Plastic and Reconstructive Surgery (Dr. Zirkle) and the Department of Surgery (Dr. Thompson), Loma Linda University, School of Medicine, Loma Linda, Calif.

Footnotes
Accepted for publication Feb 12, 1974.

Read before the annual meeting of the Southern California Chapter of the American College of Surgeons, Palm Springs, Calif, Jan 18, 1974.

Reprint requests to Division of Plastic and Reconstructive Surgery, Loma Linda University, School of Medicine, Loma Linda, CA 92354 (Dr. Zirkle).

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