Journal Basic Info
- Impact Factor: 1.995**
- H-Index: 8
- ISSN: 2474-1647
- DOI: 10.25107/2474-1647
Major Scope
- Oral and Maxillofacial Surgery
- Minimally Invasive Surgery
- Robotic Surgery
- Thoracic Surgery
- Orthopaedic Surgery
- Ophthalmic Surgery
- Otolaryngology - Head and Neck Surgery
- Neurological Surgery
Abstract
Citation: Clin Surg. 2020;5(1):2967.Case Report | Open Access
Modified Interpolated Pancake Deltopectoral Flap: A Surgical Technique for Closure of an Orocutaneous Fistula in a Compromised Patient
Felix von Scotti, Mutti Sievert, Sarina Muller, Heinrich Iro and Michael Koch*
Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Erlangen, Friedrich-Alexander University of Erlangen-N?rnberg (FAU), Germany
*Correspondance to: Michael Koch
PDF Full Text DOI: 10.25107/2474-1647.2967
Abstract
Management of a therapy-resistant oropharyngeal fistula, which developed in a patient with significant perioperative risk factors after combined treatment for a carcinoma of the oral cavity, is presented in this manuscript. A tubed pancake deltopectoral flap was used to successfully close this serious late complication in a three-stage procedure, with satisfactory functional and aesthetic results. Pedicled and/or tubed pancake flaps can be used as an alternative salvage method for reconstruction defects in the head and neck region in patients in a high-risk situation. Such flaps are easy to perform, avoid uncontrollable surgical trauma, and can provide adequate aesthetic and functional results in selected patients. The case is discussed along with a literature review.
Keywords
Head and neck carcinoma; Orocutaneous fistula; Late complication; Head and neck defect reconstruction; Deltopectoral flap; Pancake flap; Salvage surgery
Cite the article
von Scotti F, Sievert M, Muller S, Iro H, Koch M. Modified Interpolated Pancake Deltopectoral Flap: A Surgical Technique for Closure of an Orocutaneous Fistula in a Compromised Patient. Clin Surg. 2020; 5: 2967..