Combined Free Flaps for Major Head and Neck Reconstruction
Abstract
Between June 1995 and April 1997, two patients with large ulcerated recurrent squamous cell carcinoma involving the face and intraoral region were operated upon for extensive excision in desperate attempt to achieve better patient quality of life. The resultant defects required the use of combined latissimus dorsi and serratus anterior muscle flaps for reconstruction of the wounds.
The procedure can be accomplished in single-stage with only one arterial and one venous anastomosis to the selected recipient vessels. This helps in reducing the operative time. The combined free flaps in both of our cases survived well postoperatively.
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