A MODIFIED TECHNIQUE TO ENABLE THE BAKAMJIAN DLTOPECTORAL FLAP TO REACH AND COVER A MORE DISTANT DEFECT | ||||
| The Egyptian Journal of Surgery | ||||
| Volume 32, Issue 3, July 2013, Page 219-224 PDF (819.73 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejsur.2013.366735 | ||||
 View on SCiNiTO | ||||
| Author | ||||
| Amr Seliem* | ||||
| The Department of Surgical Oncology, National Cancer Institute, Cairo University, Egypt | ||||
| Abstract | ||||
| Aim: Modifications were added to the standard technique of elevating Bakamjian deltopectotal flap by taking excess of the fascial component (which carries the subdermal vascular plexus feeding the skin). This modification enabled the flap to reach at more distant sites safely. Patients and Methods: A prospective study which was done in the period between 2008 and 2012, six patients (4 males, 2 females) with different malignant skin lesions in whom surgical resections for cancer has resulted in skin defects above the zygomatic arch. For these patients the modified deltopectoral flap was used to cover the skin defects. Proper post-operative care and care to the flap were adopted. Results: Four out of six patients passed uneventful convalescence with completely viable flaps. One patient showed partial distal flap discoloration. Total flap failure occurred in only one patient. Conclusion: This modified technique enable the deltopectoral flap to safely reach and cover skin defects above the zygomatic arch. | ||||
| Keywords | ||||
| Deltopectoral flap; skin defect coverage; skin defects above zygomatic arch | ||||
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