Reconstruction of skin defects using deltopectoral flap in laryngeal carcinoma underwent total laryngectomy

Laryngeal carcinoma can infiltrate the skin, creating a defect during a total laryngectomy, extending beyond the infiltrated skin.The size, thickness, and location of the defect vary, leading to different closure procedures.It is important to understand how to select the appropriate closure technique to minimize potential complications.To describe the appropriate flap type for closing skin defects in laryngeal carcinoma undergoing total laryngectomy.A 47-year-old man suffered from T4aN1M0 laryngeal carcinoma with skin infiltration.Treatment included a total laryngectomy, total thyroidectomy, Modified Radical Neck Dissection (MRND) type 3 on the right and left, closure of the neck region defect with a deltopectoral flap, and secondary closure of the defect with a split-thickness skin graft.No complications were observed.A literature search was conducted in PubMed using the keywords "head and neck defect" and "deltopectoral flap.Four case reports relevant to the topic and available in full text were retrieved from a total of six search results.Closure of anterior neck defects measuring 6-7 cm can be performed with a regional flap or free tissue transfer.The choice of flap is based on the patient's limitations, the surgeon's expertise, and the anatomical structure.Closure of large neck defects with a deltopectoral flap has good results and no complications.