Pectoral-Sparing Deltoid Artery Use in the Vessel-Depleted Neck: A Pictorial Essay

IF 2.2 3区医学 Q1 OTORHINOLARYNGOLOGY Head and Neck-Journal for the Sciences and Specialties of the Head and Neck Pub Date : 2025-03-06 DOI:10.1002/hed.28115

Arvind K. Badhey, Priscilla Pichardo, Tazheh A. Kavoosi, Brian Cervenka, Dustin Silverman, Alice Tang, Yash Patil, Chad Zender

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Abstract

Background

This study demonstrates the role of the deltoid branch artery as a donor vessel for microvascular reconstruction in various free flaps in the vessel-depleted neck.

Methods

This is a cohort study that reports our experience with 12 patients treated between January 5, 2020 and January 12, 2020 with free flap reconstruction utilizing the deltoid artery as a donor.

Results

All patients had vessel-depleted necks secondary to previous surgery (75%), radiotherapy (100%), and/or chemotherapy (66%). Donor sites included radial forearm (n = 4), anterolateral thigh (n = 5), and latissimus dorsi (n = 3). All patients had complete flap survival, and none experienced major increases in morbidity.

Conclusion

Our cohort demonstrated success using the deltoid artery for microvascular anastomosis in patients with vessel-depleted necks. It remains viable despite previous therapies. These data support the deltoid branch with a pectoral-sparing approach as a promising first-line arterial donor for various free flap reconstructions in patients with vessel-depleted necks.

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保留胸肌三角动脉在血管衰竭颈部的应用：一篇图片文章。

背景：本研究证明了三角肌分支动脉作为供体血管在血管衰竭的颈部各种游离皮瓣中微血管重建的作用。方法：这是一项队列研究，报告了我们在2020年1月5日至2020年1月12日期间使用三角动脉作为供体的游离皮瓣重建的12例患者的经验。结果：所有患者的颈部血管衰竭继发于既往手术（75%）、放疗（100%）和/或化疗（66%）。供体部位包括前臂桡侧（n = 4）、大腿前外侧（n = 5）和背阔肌（n = 3）。所有患者皮瓣完全存活，发病率均无显著增加。结论：我们的队列证明了三角动脉用于血管衰竭颈部微血管吻合的成功。尽管以前的治疗，它仍然是可行的。这些数据支持三角肌分支保留胸肌入路作为一线动脉供体用于各种血管衰竭颈部患者的游离皮瓣重建。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Head and Neck-Journal for the Sciences and Specialties of the Head and Neck 医学-耳鼻喉科学

CiteScore

7.00

自引率

6.90%

发文量

278

审稿时长

1.6 months

期刊介绍： Head & Neck is an international multidisciplinary publication of original contributions concerning the diagnosis and management of diseases of the head and neck. This area involves the overlapping interests and expertise of several surgical and medical specialties, including general surgery, neurosurgery, otolaryngology, plastic surgery, oral surgery, dermatology, ophthalmology, pathology, radiotherapy, medical oncology, and the corresponding basic sciences.