Utilización simultánea de colgajo libre microvascular y colgajo pediculado en la reparación de defectos de espesor total

Abstract

IntroductionIn 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 mayor flap simultaneously Material and methodsWe introduce a sample of 6 patients with local advanced head and neck cancer who underwent cervical surgery reconstruction with free foearm flap and pectoralis mayor myocutaneous flap simultaneously ResultsIn 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 mayor flap. Through and through defects (after oncological surgery), should need simultaneous skin and mucosa reconstruction thus cervical tissue contribution to cover the surgical defect ConclusionSimultaneous free flap and local flap reconstruction on one step surgery it is a reasonable option as we and other authors have done