FIG. 11-08

FIG. 11-09. The donor area in the shoulder was closed primarily in the lower half and grafted in the upper half.

CASE 3

A patient suffered a crushing partial amputation of the hand with tissue loss on the dorsum.

FIG. 11-10. Stable soft tissue coverage is needed to allow secondary extensor tendon reconstruction.

FIG. 11-11. The deltoid flap is sutured in place with repair of the flap and nerves to the dorsal radial vessels and superficial dorsal radial sensory nerve, respectively.

FIG. 11-12. Several months postoperatively, the flap is well healed after restoration of tendon function.

FIG. 11-13. The donor defect could be closed primarily.

CASE 4

A woman underwent neck dissection after a positive biopsy for cancer.

FIG. 11-14

FIG. 11-15. The donor flap is marked.

FIG. 11-16. The tumor is widely excised.

FIG. 11-17. Immediate reconstruction with the deltoid flap. The excellent color match for head and neck reconstruction is one of the flap's assets.

References

1. Franklin, J.D., Rees, R.S., Madden, J.J., and Lynch, J.B.: The posterior humeral neurovascular free flap. Plast. Surg. Forum 3:172, 1980.

2. Franklin, J.D.: The deltoid flap: Anatomy and clinical applications. In Symposium on Clinical Frontiers in Reconstructive Microsurgery. Vol XXIIV. Edited by H.J. Buncke and D.W. Furnas. St. Louis, C.V. Mosby, 1984.

3. Russell, R.C., Guy, R.I., Zook, E.G., and Merrill, J.C.: Extremity reconstruction using the free deltoid flap. Plast. Reconstr. Surg. 76:586, 1985.