The art of reconstructive surgery is a constantly evolving field, driven by both technical advancements and a deeper understanding of human anatomy. At the core of these innovations is the delicate balance between restoring both the form and function of damaged or lost tissues. Among the many techniques that have revolutionized reconstructive surgery, the deltopectoral flap has remained a cornerstone for decades, providing unparalleled flexibility and efficacy in addressing a range of complex defects, particularly in head and neck reconstruction.
When first introduced by Beckambijian, the deltopectoral flap was met with cautious optimism. Over time, as surgeons honed their skills and gained a deeper understanding of its anatomical foundations, this procedure became an essential tool for plastic and reconstructive surgeons worldwide. Its ability to harvest tissue from the anterior chest wall, coupled with its dependable blood supply through the thoracoacromial artery, allows for the successful reconstruction of large, difficult-to-repair defects, offering patients the potential for not only survival but also enhanced quality of life. This technique’s legacy speaks to the brilliance of its design and its enduring importance in modern reconstructive surgery.
However, like any surgical technique, the deltopectoral flap is not immune to evolution. Surgeons and researchers continue to refine, adapt, and optimize its use in response to new challenges, patient needs, and technological advances. “Deltopectoral Flap Revisited” seeks to provide an updated and comprehensive exploration of this technique—its history, current applications, and future directions—by revisiting the foundational principles that made it a success while examining the ways it has been adapted and refined over time. This book serves as both a tribute to the past and a roadmap for the future, exploring the current state of knowledge and practice, as well as the new frontiers that will shape the technique in the years to come.
