Review article

Deltopectoral flap: an old but useful technique for head and neck reconstruction

Neven Skitarelić ; General hospital Zadar, Zadar, Croatia; University of Zadar, Department of Health study, Zadar, Croatia; University of Rijeka, Faculty of Medicine, Rijeka, Croatia
Stipe Kalac ; General hospital Zadar, Zadar, Croatia
Branimir Šušak ; General hospital Zadar, Zadar, Croatia
Nataša Skitarelić ; General hospital Zadar, Zadar, Croatia; University of Zadar, Department of Health study, Zadar, Croatia

Abstract

Head and neck cancer represents a significant portion of global cancer incidence.
Reconstruction of defects in the face and neck has always been an extremely
demanding challenge due to their anatomical complexity, with many
vital structures located superficially. The cosmetic camouflage of these defects
is often difficult due to their exposed location. Over the years, various reconstructive
techniques have been developed to address these challenges, ranging
from regional tissue flaps to free tissue transfers.
The deltopectoral flap is a fasciocutaneous flap raised from the anterior chest
wall below the clavicle. The anatomy is reliable, and flap harvest is relatively
easy. The deltopectoral flap can be used with great success for reconstruction
of defects of the middle and lower thirds of the face, the oral cavity, the neck,
and the oesophagus. The deltopectoral flap is thin, pliant, and very reliable,
providing an excellent colour and texture match with the face and neck. On
the other hand, it‘s technically easier and much faster to harvest and does not
require microvascular experience.
Although the spectacular development of free flaps has radically changed the
reconstruction of the head and neck, the deltopectoral flap still maintains a
privileged place among the reconstructive tools for this region, especially in
difficult situations. This is mainly due to its technical simplicity, high reliability,
thinness, pliability, large size and time-saving. The role of the deltopectoral flap
is as a good alternative to free flaps in head and neck surgery.

Keywords

head and neck; reconstruction; deltopectoral flap

Hrčak ID:

351485

URI

https://hrcak.srce.hr/351485

Publication date:

7.10.2026.

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