title: [Use of simultaneou free microvascular flap and pediculated flap for repairing in-depth defects].
abstract: BACKGROUND
  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.
  
  
  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.
  
  
  CONCLUSIONS
  Simultaneous free flap and local flap reconstruction on one step surgery it is a reasonable option as we and other authors have done.
authors.affiliation: Departamento de Otorrinolaringología, Clínica Universitaria, Universidad de Navarra, Pamplona. pvazquez@unav.es
authors.forename: F
authors.initials: F
authors.lastname: Vázquez de la Iglesia
authors.forename: J
authors.initials: J
authors.lastname: Herrero Agustín
authors.forename: J
authors.initials: J
authors.lastname: Alcalde Navarrete
mesh_terms: D000328:Adult; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D005260:Female; D005542:Forearm; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000637:transplantation*; D010369:Pectoralis Muscles / Q000637:transplantation; D010610:Pharyngeal Neoplasms / Q000601:surgery*; D013524:Surgical Flaps