Abstract
Pectoralis major myocutaneous flap is one of the useful material for the head and neck reconstructive sugery.
Deltopectoral skin flap is also frequently used for the same purposes. When the pectoralis major myocutaneous flap is used, the deltopectoral skin flap should not be sacrificed.
When the pectoralis major myocutaneous flap is used, the surgical method to preserve the deltopectoral flap is described in this paper. Surgical procedure is as follows: a skin incision is carried as a usual manner to make the superior and lateral margin of deltopectoral flap and the inferior skin incision is carried down to the skin paddle of pectoralis major myocutaneous flap. After the pectoralis major myocutaneous flap is made, deltopectoral flap is replaced and the wound is closed primarily.
We performed this method in 6 patients with head and neck cancer, obtaining good results in all cases.
