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Which One?

LTC John C. Price, MC; MAJ R. Kim Davis, MC

Arch Otolaryngol. 1984;110(1):35-40.

Abstract
• During the past 2 years, we have used 21 deltopectoral (DP) and 25 pectoralis major myocutaneous (PM) flaps of which 25 were applied to oral and pharyngeal defects. The concurrent use of both flaps has enabled elucidation of some specific and relative advantages and disadvantages. The following five situations have been identified in which we believe the PM flap is clearly superior: (1) lateral mandibular composite resection defects; (2) large anterior segmental defects; (3) reconstitution of tongue and base of tongue; (4) radionecrosis; and (5) through-and-through defects of skin and oral cavity. The DP flap appears to hold an advantage in the repair of the following defects: (1) limited anterior mandibular loss; (2) posterior and lateral pharyngeal loss; (3) complex resections involving the palate; and (4) cervicofacial skin. The unique advantages of each flap must be weighed against certain disadvantages. Application to each reconstructive problem should be individualized. Proficiency with both flaps enhances the surgeon's ability to deal with major ablative procedures.

(Arch Otolaryngol 1984;110:35-40)

Author Affiliations
USA; USA

From the Otolaryngology—Head and Neck Surgery Service, Walter Reed Army Medical Center, Washington, DC; and the Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, Md. Dr Davis is now with the University of Utah College of Medicine, Salt Lake City.

Footnotes
Accepted for publication June 3, 1983.

The opinions or assertions contained herein are the private ones of the authors and are not to be construed as official or as reflecting the views of the Department of the Army or Department of Defense.

Reprint requests to Division of Otolaryngology—Head and Neck Surgery, University of Utah College of Medicine, 3B 326 University Medical Center, 50 N Medical Dr, Salt Lake City, UT 84132 (Dr Davis).

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