One-stage pharyngoesophageal and oral mucocutaneous reconstruction with two segments of one musculocutaneous flap.
This report describes a one-stage technique that provides both cover and lining to mucocutaneous defects of the head and neck with either latissimus dorsi or pectoralis major musculocutaneous units that are split into anatomic segments to create two independent flaps from one musculocutaneous unit. In addition, this technique further refines reconstruction of pharyngoesophageal defects. Techniques of simultaneous mandibular reconstruction with vascularized bone carried on these same segmental flaps are also commented on.
D000818:Animals; D004285:Dogs; D004947:Esophagus / Q000601:surgery; D006801:Humans; D007830:Larynx / Q000601:surgery; D009061:Mouth Mucosa / Q000601:surgery; D009132:Muscles / Q000033:anatomy & histology; D010614:Pharynx / Q000601:surgery; D011183:Postoperative Complications / Q000601:surgery*; D013524:Surgical Flaps; D013909:Thorax / Q000033:anatomy & histology