Friedman M, Toriumi D M, Grybauskas V
Arch Otolaryngol Head Neck Surg. 1987 Jun;113(6):612-4. doi: 10.1001/archotol.1987.01860060038011.
The bilobed deltopectoral advancement flap is a versatile reconstructive option for selected cervical defects. This modified version of Bakamjian's classic deltopectoral flap utilizes thin anterolateral neck skin to cover complex anterior neck defects. It offers the safety of a minimally rotated pedicle to reduce the chance of flap necrosis from kinking, and the convenience of a single-stage procedure. We have used this flap six times in our clinical experience. Typically, the defects were located in the anterior cervical region, and many of them were reconstructed following total laryngectomy and radical neck dissection. There was no incidence of flap necrosis in the patients, including those who had had preoperative irradiation.
双叶三角胸肌推进皮瓣是一种用于特定颈部缺损的多功能重建选择。这种改良版的巴卡姆詹经典三角胸肌皮瓣利用颈部前外侧薄皮肤覆盖复杂的颈部前部缺损。它提供了一个最小旋转蒂的安全性，以减少皮瓣因扭结而坏死的几率，并且具有一期手术的便利性。在我们的临床经验中，我们已使用该皮瓣6次。典型地，缺损位于颈前部区域，其中许多是在全喉切除和根治性颈清扫术后进行重建的。患者中没有皮瓣坏死的情况发生，包括那些术前接受过放疗的患者。
