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..