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Regional pedicled flap salvage options for large head and neck defects: The old, the new, and the forgotten

OBJECTIVES: The objective of this article is to review options for regional pedicled reconstruction for large head and neck defects in a salvage setting. METHODS: Relevant regional pedicled flaps were identified and reviewed. Expert opinion and supporting literature were used to summarize and descri...

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Detalles Bibliográficos
Autores principales: Chang, Brent A., Asarkar, Ameya A., Horwich, Peter M., Nathan, Cherie Ann O., Hayden, Richard E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons, Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9948595/
https://www.ncbi.nlm.nih.gov/pubmed/36846409
http://dx.doi.org/10.1002/lio2.983
Descripción
Sumario:OBJECTIVES: The objective of this article is to review options for regional pedicled reconstruction for large head and neck defects in a salvage setting. METHODS: Relevant regional pedicled flaps were identified and reviewed. Expert opinion and supporting literature were used to summarize and describe the available options. RESULTS: Specific regional pedicled flap options are presented including the pectoralis major flap, deltopectoral flap, supraclavicular flap, submental flap, latissimus flap, and trapezius flap. CONCLUSIONS: Regional pedicled flaps are useful options in a salvage setting even for large defects and should be in the armamentarium of any reconstructive head and neck surgeon. Each flap option carries specific characteristics and considerations.