Repair of head and neck malignant tumor after radiotherapy tissue defects by deltopectoral flap

Abstract

Objective:To investigate the clinical effect of deltopectoral flap on neck soft tissue defect after radiotherapy of head and neck malignant tumor.Method:Five cases of repair with thoracic peninsula and island skin flap for neck soft tissue defects after radiotherapy were included in the study.Result:All of the five flaps survived successfully. However, two patients had exudation on the incision sutures and 1 case has incision dehiscence. However, the wound was healed with the measure of the shoulder brake and wound resutured. In 1 case, the skin and soft tissue of the lateral neck were necrotic, with the contralateral deltopectoral flap to repair after healing. There were no complications after repair of skin flap in 1 patient.Conclusion:The deltopectoral flap is found as a efficant tissure for repair of head and neck tissue defects after radiotherapy.