COMPARISON OF TWO TYPES OF DELTOPECTORAL FLAP FOR THE RECONSTRUCTION OF LOWER FACIAL DEFECTS

Authors

  • Jawad Ahmad Kundi Sardar Begum Dental College, Gandhara University, Peshawar.
  • Shahid Khan Khattak Sardar Begum Dental College, Gandhara University, Peshawar.
  • Riaz Ahmed Warraich Department of Oral & Maxillofacial Surgery, King Edward Medical University/ Mayo Hospital, Lahore.

DOI:

https://doi.org/10.33279/jkcd.v4i1.526

Keywords:

Deltopectoral flap, Lower face reconstruction, Reconstruction

Abstract

Objective: To compare different variables between two surgical types of the delto-pectoral flap thereby reaching a consensus on the better flap among the two types.
Meterial and Methods:A total of 60 patients were included in this study who reported to the Department of Oral and Maxillofacial Surgery at King Edward Medical University, Lahore from March, 2005 to February, 2006 (one year) and who required lower facial reconstruction owing to previous facial trauma or following ablative tumour resection .These patients were randomly divided into two groups. Group A underwent reconstruction using a single-stage procedure involving de-epithilization and tunneling under the neck skin. Group B underwent the reconstruction of the defect using the conventional two-stage procedure in which defect was reconstructed with the flap and three weeks later the pedicle of the flap was transected and brought back to original donor site.
Results:Among group A patients, successful flaps were noticed in 83.3% of cases. Among group B 93.3% were successful were refused flaps were noticed in 73.3% of cases in both group A, and B following blenching test. Edge necrosis was seen in 40% patients in group A, while 33.3% in group B.
Conclusion: The two-stage flap technique should be employed as a norm in the lower face reconstruction owing to the significantly higher flap failure rate in the single-stage entity attributable probably to traction on flap pedicles during de-epithelization . Further studies are encouraged.

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Published

2013-12-31

How to Cite

Kundi, J. A. ., Shahid Khan Khattak, & Riaz Ahmed Warraich. (2013). COMPARISON OF TWO TYPES OF DELTOPECTORAL FLAP FOR THE RECONSTRUCTION OF LOWER FACIAL DEFECTS. JOURNAL OF KHYBER COLLEGE OF DENTISTRY, 4(1), 20–24. https://doi.org/10.33279/jkcd.v4i1.526

Issue

Vol. 4 No. 1 (2013): Journal of Khyber College of Dentistry

Section

Original Article

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Copyright (c) 2013 Jawad Ahmad Kundi, Shahid Khan Khattak, Riaz Ahmed Warraich

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