Delto-Pectoral Flap

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Abstract
One of the most versatile flaps for reconstructive procedures in major head and neck surgery is the delto-pectoral flap. This flap is from the anterior chest wall, based medially, with the blood supply from the first through the fourth perforator vessels of the internal mammary artery. It can be nondelayed or delayed depending on a number of factors, the most important being length, presence or absence of diabetes mellitus, and status of tissue turgor. This flap can be used to reconstruct cervical esophagus, intraoral defects, skin of neck, chin, and face, hypopharynx, oropharynx, and to cover carotid artery or vascular graft.