[Myocutaneous pectoral flap for reconstruction of head and neck traumatic injuries: case report]

Our objective was to demonstrate performance of myocutaneous flap as feasible by general surgeons. The setting was a secondary-level health care trauma center. A male of 26 years of age suffered injuries on the left side of his neck and left shoulder due to a gunshot. Deltoid, trapezius, clavicle, transverse cervical artery, and supraclavicular space were damaged with exposure of pleura; resultant damaged area measured 12 cm. Debridement was performed in steps until healed tissue appeared. A 18-cm defect resulted, and a pectoral flap was used for reconstruction with satisfactory evolution. Performance of pediculed myocutaneous pectoral flap by general surgeons with basic draining in reconstructive procedures is feasible.