Abstract
The internal mammary artery perforator flap (IMAP) was described by Yu and co-workers for the reconstruction of tracheostoma and anterior neck. The utility of this flap rests in its ability to be used without microvascular anastomosis, its low bulk, and ability to be used in the vessel depleted neck. The IMAP was used in two cases of persistent pharyngocutaneous fistulas. Both patients were males with previous diagnosis of laryngeal squamous cell carcinoma who had failed organ preservation treatment with radiation.
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