Use of simultaneou free microvascular flap and pediculated flap for repairing in-depth defects

INTRODUCTION
In great surgical defects due to radical oncological head and neck surgery, sometimes, a unique flap reconstruction is not suitable to restore local anatomy. In those cases, it is suitable to do both, a free flap and a pectoralis major flap simultaneously.

MATERIAL AND METHODS
We introduce a sample of 6 patients with local advanced head and neck cancer who underwent cervical surgery reconstruction with free foearm flap and pectoralis major myocutaneous flap simultaneously.

RESULTS
In great surgical defects due to radical oncological head and neck surgery, sometimes, a unique flap reconstruction is not suitable to restore local anatomy. In those cases, it is suitable to do both, a free flap and a pectoralis major flap. Through and through defects (after oncological surgery), should need simultaneous skin and mucosa reconstruction thus cervical tissue contribution to cover the surgical defect.

CONCLUSION
Simultaneous free flap and local flap reconstruction on one step surgery it is a reasonable option as we and other authors have done.

CITA DEL ARTÍCULO  Acta Otorrinolaringol Esp. 2004 Nov;55(9):420-3.  doi: 10.1016/s0001-6519(04)78547-7.