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Updated: Aug 12, 2026

Engineered Vascularized Muscle Flap
Published on: January 11, 2016
[Use of simultaneou free microvascular flap and pediculated flap for repairing in-depth defects]
F Vázquez de la Iglesia1, J Herrero Agustín, J Alcalde Navarrete
1Departamento de Otorrinolaringología, Clínica Universitaria, Universidad de Navarra, Pamplona. pvazquez@unav.es
Introduction:
In 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 major flap simultaneously.
Material And Methods:
We introduce a sample of 6 patients with local advanced head and neck cancer who underwent cervical surgery reconstruction with free foearm flap and pectoralis major myocutaneous flap simultaneously.
Results:
In 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 major flap. Through and through defects (after oncological surgery), should need simultaneous skin and mucosa reconstruction thus cervical tissue contribution to cover the surgical defect.
Conclusion:
Simultaneous free flap and local flap reconstruction on one step surgery it is a reasonable option as we and other authors have done.

