[The pedicled musculo-cutaneous latissimus dorsi flap]

The pedicled musculo-cutaneous latissimus dorsi flap presents many advantages and merits to be used more frequently in head and neck surgery because a large musculo-cutaneous pallet with an excellent vitality can be obtained. The flap reaches easily the inferior third of the face thanks to its rotation arc, leading to a discreet aesthetic scar. For this reason, its use is interesting especially for women. The aim of this article is to focus on the fundamental points of the technique we use and to emphasize the importance of the postoperative patient's arm positions to obtain a good result.