[Unilateral reconstruction of the anterior neck using a combination flap technique]

This technique is recommended for the one-stage reconstruction of the cervical esophagus, for the protection of the cervical vessels by soft tissues and for the substitute of the anterior neck skin. The microvascular free jejunal flap is transplanted and then covered by the myocutaneous pectoralis-major-island-flap. Indications are complete defects of the anterior neck after the resection of tumors, after the resection of necrotic tissues following radionecrosis, when all soft tissues in front of the prevertebral fascia have to be resected. Details of the surgical technique are explained. This combination flap technique proved to be useful in 4 patients without any complications.