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Case Report



Reconstruction of Pharyngeal Defect with Prelaminated Pectoralis Major Pedicled Flap

Ilyas Akhundzada, Araz Aliyev, Tural Huseynov, Rauf Kerimov.

Abstract
Pharyngeal reconstruction remains a considerable challenge in head and neck surgery. Defects of pharynx combined with anterior neck soft tissues deficiency require both external skin and lining for their reconstruction. Flap prelamination is a powerful method, which can provide two epithelial surfaces simultaneously.
Here we describe pharyngeal reconstruction by prelaminated pectoralis major flap. Two clinical cases are presented.
We performed a two-stage reconstruction, which included implantation of skin graft under pectoralis major muscle and subsequent transfer of a myocutaneous flap onto the neck, where the grafted surface was used for pharyngeal lining. A functionally consistent pharyngeal tube and satisfactory anterior neck coverage have been achieved.
Although more clinical experience is needed, the prelamination of pectoralis major myocutaneous flap can be an alternative for reconstructions of complex pharyngeal defects, as shown in our cases.

Key words: pharyngeal, defect, reconstruction, prelaminated, pectoralis, major, flap, anterior, neck



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