Orocutaneous fistulas are associated with considerable morbidity. Closures of these fistulas are a challenge to the reconstructing surgeon. The aim of treatment is to provide healthy tissue to repair both the oral and cutaneous defects. The use of an expanded pedicled deltopectoral flap for the closure of an orocutaneous fistula in a patient who has undergone bilateral neck dissection and radiation is reported.
MiyawakiT., DegnerD., JacksonI.T.Easy tissue expansion of prelaminated mucosa-lined flaps for cheek reconstruction in a canine model.Plast Recons Surg2002; 109: 1978-85.
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IwahiraY., MaruyamY., SazeM., KitayamaE., HirataA.. Reconstruction of cheek defect with an expanded deltopectoral flap. Poster presented at the ASPS/PSEF/ASMS 70th Annual Scientific Meeting, Orlando, Florida, November 3-7, 2001. <www.plasticsurgery.org/PSF/PSFHOME/educate/abstracts/Posters/777.htm> (Version current at June 6, 2008).
