Deltopectoral Flap Revisited |Book Publisher International

The deltopectoral (DP) flap, a classic workhorse of regional flap reconstruction, has seen a resurgence in interest with a renewed understanding of its anatomy, technique, and practical advantages. Deltopectoral Flap Revisited is a focused surgical monograph designed for plastic surgery residents, reconstructive surgeons, ENT surgeons, Oncoplastic surgeons and microsurgery fellows. It revisits this time-honored pedicled flap through a modern lens—highlighting its role in head and neck reconstruction, chest wall defects, pharyngeal salvage, and composite reconstructions in compromised surgical fields. The book offers step-by-step surgical planning, dissection techniques, troubleshooting of complications, and comparative insights with free flaps. Richly illustrated with operative photographs, case examples, and anatomical dissections, it bridges historical surgical wisdom with contemporary clinical relevance—making it a must-read for those mastering regional flaps in reconstructive surgery.

 

Author (s) Details

 

Dr. Mohd Altaf Mir
Department of Burns and Plastic Surgery, All India Institute of Medical Sciences (AIIMS), Bathinda, 151001, India.

 

Dr. Sakshita Pal
All India Institute of Medical Sciences (AIIMS), Bathinda, 151001, India.

 

 

Please see the book here:- https://doi.org/10.9734/bpi/mono/978-93-49729-90-2

Perforator Pedicled Propeller Flap: Innovative Solutions for Unstable Scar Reconstruction | Chapter 9 | Key Flaps in Plastic Surgery

 This book chapter presents a case report and discussion on the use of the perforator pedicled propeller flap for the reconstruction of an unstable scar with central ulceration on the medial aspect of the right ankle. The chapter includes a detailed case presentation, operative procedure, and a comprehensive discussion of the surgical technique, advantages, and limitations associated with the propeller flap.

The case presentation describes a patient with a post-traumatic unstable scar on the medial aspect of the right ankle, resulting from a road traffic accident three years prior. Clinical examination revealed a benign nature of the ulcer and scar. The surgical intervention involved excision of the unstable scar and reconstruction using a reverse sural flap. The scar with ulceration and a 1 mm surrounding margin were excised, and the dimensions of the defect were measured. The reverse sural flap was raised, transposed to the defect, and the donor site was grafted with split-thickness skin grafts. The postoperative period was uneventful, and satisfactory results were observed during follow-up examinations.

The discussion section introduces the perforator pedicled propeller flap as a surgical technique used to cover soft tissue defects. The surgical technique, including patient evaluation and planning, flap design and marking, incision and flap elevation, and flap transposition and closure, is described in detail. The advantages of the propeller flap, such as preservation of major vessels, versatility, minimized donor site morbidity, and customization and precision, are discussed. The limitations, including vascular anatomy, flap reach and tension, and potential complications, are also addressed.

In conclusion, this book chapter provides valuable insights into the use of the perforator pedicled propeller flap for the reconstruction of unstable scars with central ulceration. Through a case report, operative details, and a comprehensive discussion, the chapter highlights the efficacy, considerations, and potential limitations associated with this surgical technique. This information can guide surgeons in making informed decisions and achieving successful outcomes in the reconstruction of soft tissue defects using the propeller flap.

Author(s) Details:

Mohd. Altaf Mir,
Department of Burns and Plastic Surgery, All India Institute of Medical Sciences (AIIMS),Bathinda-151001, India.

Jaya Jain,
All India Institute of Medical Sciences (AIIMS), Bathinda-151001, India.

Please see the link here: https://stm.bookpi.org/KFPS/article/view/11504