Regional pedicled flap salvage options for large head and neck defects: The old, the new, and the forgotten.

Abstract

The objective of this article is to review options for regional pedicled reconstruction for large head and neck defects in a salvage setting. Relevant regional pedicled flaps were identified and reviewed. Expert opinion and supporting literature were used to summarize and describe the available options. Specific regional pedicled flap options are presented including the pectoralis major flap, deltopectoral flap, supraclavicular flap, submental flap, latissimus flap, and trapezius flap. Regional pedicled flaps are useful options in a salvage setting even for large defects and should be in the armamentarium of any reconstructive head and neck surgeon. Each flap option carries specific characteristics and considerations.