[Combined free flap and pedicled pectoralis major myocutaneous flap in reconstruction of extensive composite defects in head and neck region: a review of 9 consecutive cases].
OBJECTIVE
To analyze the value and reliability of combined free flap and pedicled pectoralis major myocutaneous flap in the reconstruction of extensive composite head and neck defects.


METHODS
Nine consecutive cases of combined free flap and pedicled pectoralis major myocutaneous flap transfers for extensive head and neck defects from March 2002 to April 2005 were reviewed. Data concerning the operation included defect description, type of free flap, recipient vessel and complications.


RESULTS
There were 9 cases in this group, with 7 males and 2 females. Among the 9 free flaps, there were 6 radial forearm flaps, two fibula flaps, and one anterolateral thigh flap. The overall flap survival rate was 100% (all of 18 flaps), without partial or total flap necrosis. One radial forearm flap developed venous thrombosis 24 hours after operation, but salvaged by emergent exploration and reanastomosis of veins. The overall complication rate was 44.4%.


CONCLUSIONS
In selected cases, the combined free flap and pedicled pectoralis major myocutaneous flap method provided satisfactory reconstruction for extensive head and neck defect, and simplified the double free flap method.
Dept. of Oral and Maxillofacial Surgery, Peking University School of Stomatology, Beijing 100081, China.
Chi
C
Mao
Guang-Yan
GY
Yu
Xin
X
Peng
Lei
L
Zhang
Chuan-Bin
CB
Guo
Min-Xian
MX
Huang
D005260:Female; D058752:Free Tissue Flaps; D006257:Head; D006258:Head and Neck Neoplasms / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D064827:Myocutaneous Flap; D009333:Neck; D009336:Necrosis; D019651:Plastic Surgery Procedures; D015203:Reproducibility of Results; D013524:Surgical Flaps